SPOKANE SURGERY CENTER LTD PS
NPI 1902864879
Clinic/Center - Ambulatory Surgical in Spokane Valley, WA

Active since May 02, 2006CLIA 50D2303505 · Waiver
12109 E BROADWAY AVE STE C, SPOKANE VALLEY, WA 99206(509) 928-1990(509) 928-2933 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Spokane Surgery Center Ltd Ps NPPES

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

SPOKANE SURGERY CENTER LTD PS (NPI 1902864879) is a healthcare organization registered as an ambulatory surgical in Spokane Valley, Washington and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Stewart Pugmire Brim, Owner President, as its authorized official.

NPPES Registry Identity

NPI1902864879
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSPOKANE SURGERY CENTER LTD PS
Location Address12109 E BROADWAY AVE STE CSpokane Valley, WA 99206-6133
Mailing Address12109 E Broadway Ave Ste CSpokane Valley, WA 99206-6133 · (509) 928-1990 · Fax (509) 928-2933
Fax(509) 928-2933
Organization SubpartNo
Authorized OfficialStewart Pugmire BrimOwner President · (509) 928-1990
Enumeration DateMay 2, 2006
Last NPPES UpdateDecember 4, 2024
NPPES CertifiedDecember 4, 2024
NPI 1902864879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
12109 E BROADWAY AVE STE C, Spokane Valley, WA 99206

Other Identifiers 3

Medicaid7087760WA
Other490000540WA · Railroad Medicare
Other117682WA · Labor & Industry

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 50D2303505

Spokane Surgery Center · Spokane, WA
Active · expires Apr 4, 2028
CLIA Number50D2303505
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 25, 2024
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDarron Woolley
Laboratory Phone(509) 928-1990
Laboratory LocationSpokane Surgery Center12109 E Broadway Ave Ste C, Spokane, WA 99206
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

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.

Correction of toe joint deformity 28285
Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.
107 services57 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
101 services36 patients
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
87 services44 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
81 services58 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
61 services33 patients
Insertion of spinal neurostimulator electrode array through skin 63650
This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.
52 services17 patients

Other Providers at the Same Location NPPES 6

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

Clinic/Center (Podiatric)
12109 E BROADWAY AVE STE C
SPOKANE VALLEY, WA 99206
Podiatrist
12109 E BROADWAY AVE STE C
SPOKANE VALLEY, WA 99206
Clinic/Center (Dental)
12109 E BROADWAY AVE STE C
SPOKANE VALLEY, WA 99206
Podiatrist (Foot & Ankle Surgery)
12109 E BROADWAY AVE STE C
SPOKANE VALLEY, WA 99206
Podiatrist
12109 E BROADWAY AVE STE C
SPOKANE VALLEY, WA 99206
Clinic/Center (Ambulatory Surgical)
12109 E BROADWAY AVE STE C
SPOKANE VALLEY, WA 99206

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 Spokane Surgery Center Ltd Ps's NPI number?

The NPI number for Spokane Surgery Center Ltd Ps is 1902864879. It was assigned to this organization in the NPPES registry on May 2, 2006.

Where is Spokane Surgery Center Ltd Ps located?

Spokane Surgery Center Ltd Ps is located at 12109 E Broadway Ave Ste C, Spokane Valley, WA 99206. The listed phone number is (509) 928-1990.

What is Spokane Surgery Center Ltd Ps's specialty?

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

Does Spokane Surgery Center Ltd Ps hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2303505) 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 Spokane Surgery Center Ltd Ps accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Spokane Surgery Center Ltd Ps 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 Spokane Surgery Center Ltd Ps was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.