Olympia Multi-Specialty Clinic Ambulatory Procedures Cntr PLLC
Clinic/Center, Ambulatory Surgical in Olympia, WA. Organization (NPI-2).
Details
- NPI
- 1821101197
- Entity type
- Organization (NPI-2)
- Legal business name
- Olympia Multi-Specialty Clinic Ambulatory Procedures Cntr PLLC
- Organization subpart
- No
- Enumeration date
- Aug 17, 2006
- Last updated
- Oct 12, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - AMBULATORY SURGICAL CENTER
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
| 174400000X | Specialist | FX00057092 | WA |
Practice location
3920 Capitol Mall Dr SwSuite 300
Olympia, WA 98502-8700
Phone 360-704-3401 · Fax 360-754-0298
Mailing address
406 Black Hills Ln Sw Ste AOlympia, WA 98502-8144
Phone 360-704-3401 · Fax 360-754-1783
Authorized official
Marshall Edward McCabe
Medical Director
3607043401
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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