Unknown Individual – Ambulatory Surgical Clinic/Center, NPI 1962675520

Unknown Individual is a healthcare provider. based in Tumwater, Washington. specializing in Ambulatory Surgical Clinic/Center. They hold a License No. PO00000517 (WA). The NPI Number for Unknown Individual is 1962675520

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1962675520
Phone
(360) 754-3338
Address
1610 BISHOP RD SW
Deactivation Date
20 May 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1610, Bishop Road Southwest, Tumwater, Thurston County, Washington, 98512, United States

    SUITE 101

    TUMWATER, WA 985127303

    Phone: (360) 754-3338

    Fax: (360) 753-4861

    Type: Mailing

  • 1220, West 1st Street, Centralia, Lewis County, Washington, 98531, United States

    SUITE B

    CENTRALIA, WA 985313018

    Phone: (360) 736-4151

    Fax: (360) 736-4154

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98512)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1962675520 uniquely identifies Unknown Individual in U.S. healthcare data.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Ambulatory Surgical Clinic/Center. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Tumwater, Washington in registry-derived data.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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