PUYALLUP AMBULATORY SURGERY CENTER, LLC
NPI 1700661212
Clinic/Center - Ambulatory Surgical in Puyallup, WA
NPI Status: Active since August 31, 2023
Contact Information
1519 3RD ST SE #240
PUYALLUP, WA
ZIP 98372
Phone: (253) 845-0757
Fax: (253) 845-0866
NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: July 12, 2026.
Record update history: Aug 4, 2025, Aug 31, 2023 (2 updates tracked since 2023).
- Organization
- Clinic/Center
- Ambulatory Surgical
- Accepts Insurance
About PUYALLUP AMBULATORY SURGERY CENTER, LLC
This page provides the complete NPI Profile along with additional information for Puyallup Ambulatory Surgery Center, Llc, a provider established in Puyallup, Washington operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1700661212 assigned on August 2023. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is William Glenn Robertson (Ceo)
- NPI
- 1700661212
- Provider Name
- PUYALLUP AMBULATORY SURGERY CENTER, LLC
- Entity Type
- Organization
- Location Address
- 1519 3RD ST SE #240 PUYALLUP, WA 98372
- Location Phone
- (253) 845-0757
- Location Fax
- (253) 845-0866
- Mailing Address
- P.O. BOX 5299 MS: 820-5-PCO TACOMA, WA 98415
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-31-2023
- Last Update Date
- 08-04-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1700661212, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 48 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700661212, enumerated as an "organization" on August 31, 2023.
The provider is located at 1519 3RD ST SE #240 PUYALLUP, WA 98372 and the phone number is (253) 845-0757.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska and. Please consult your insurance carrier or call the provider to verify.
