PROVIDENCE SURGERY AND PROCEDURE CENTER LLC
NPI 1205545860
Clinic/Center - Ambulatory Surgical in Spokane Valley, WA

Active since November 22, 2022CLIA 50D2087148 · Waiver
16528 E DESMET CT, SPOKANE VALLEY, WA 99216(509) 944-8960 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 11, 2024, Nov 22, 2022 (2 updates tracked since 2022).

About Providence Surgery And Procedure Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE SURGERY AND PROCEDURE CENTER LLC (NPI 1205545860) is a healthcare organization registered as an ambulatory surgical in Spokane Valley, Washington and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Jonathan Bailey, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1205545860
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePROVIDENCE SURGERY AND PROCEDURE CENTER LLC
Location Address16528 E DESMET CTSpokane Valley, WA 99216-3522
Mailing Address16528 E Desmet Ct Ste A2100Spokane Valley, WA 99216-3522 · (509) 944-8960
Organization SubpartNo
Authorized OfficialJonathan BaileyOfficer/authorized Official · (203) 609-1168
Enumeration DateNovember 22, 2022
Last NPPES UpdateOctober 11, 20242 updates tracked since enumeration
NPPES CertifiedOctober 11, 2024
NPI 1205545860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
16528 E DESMET CT, Spokane Valley, WA 99216

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2087148

Providence Surgery And Procedure Center · Spokane Valley, WA
Active · expires Apr 4, 2028
CLIA Number50D2087148
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 5, 2023
Certificate Expiration DateApril 4, 2028
Laboratory DirectorBryan Mitchell
Laboratory Phone(509) 944-8960
Laboratory LocationProvidence Surgery And Procedure Center16528 E Desmet Ct Ste A2100, Spokane Valley, WA 99216
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
2,527 services19 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
85 services85 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
80 services80 patients
Incision of tendon covering of finger 26055
This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.
63 services50 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
54 services44 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
48 services46 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
16528 E DESMET CT
SPOKANE VALLEY, WA 99216
Emergency Medicine
16528 E DESMET CT
SPOKANE VALLEY, WA 99216
Family Medicine
16528 E DESMET CT
SPOKANE VALLEY, WA 99216
Occupational Therapist (Hand)
16528 E DESMET CT
SPOKANE VALLEY, WA 99216
Nurse Practitioner (Family)
16528 E DESMET CT
SPOKANE VALLEY, WA 99216
Physician Assistant (Medical)
16528 E DESMET CT
SPOKANE VALLEY, WA 99216
Family Medicine
16528 E DESMET CT
SPOKANE VALLEY, WA 99216
Physician Assistant
16528 E DESMET CT
SPOKANE VALLEY, WA 99216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Surgery And Procedure Center LLC's NPI number?

The NPI number for Providence Surgery And Procedure Center LLC is 1205545860. It was assigned to this organization in the NPPES registry on November 22, 2022.

Where is Providence Surgery And Procedure Center LLC located?

Providence Surgery And Procedure Center LLC is located at 16528 E Desmet Ct, Spokane Valley, WA 99216. The listed phone number is (509) 944-8960.

What is Providence Surgery And Procedure Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Providence Surgery And Procedure Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2087148) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Providence Surgery And Procedure Center LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Providence Surgery And Procedure Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Providence Surgery And Procedure Center LLC was last updated on October 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.