| Organization Name: | TRI CITY REGIONAL SURGERY CENTER LLC |
| NPI Number: | 1053418137 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID WEBER (EXECUTIVE DIRECTOR) |
| Mailing Address: | 1096 Goethals Dr Richland |
| State: | WA US |
| Postal Code: | 99352 |
| Phone Number: | 5099439700 |
| Fax Number: | 5099431503 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 07/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 601722394 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |