{"npi":"1962402503","type":"NPI-2","status":"active","name":{"display":"North Kitsap Ambulatory Surgery Center, LLC","other":[],"organization_name":"NORTH KITSAP AMBULATORY SURGERY CENTER, LLC","authorised_official":"Jamie Fowler"},"specialty":{"primary_taxonomy":"261QA1903X","primary_taxonomy_description":"Ambulatory Surgical Clinic/Center","slug":"ambulatory-surgical-clinic-center","schema_org_specialty":null,"all":[{"code":"261QA1903X","description":"Ambulatory Surgical Clinic/Center","primary":true,"state":"WA","license":"600558138"}]},"addresses":[{"purpose":"LOCATION","street_1":"20669 BOND RD NE","city":"POULSBO","state":"WA","postal_code":"983706525","country_code":"US","street_2":"SUITE 200","phone":"3607796527","fax":"3606972743"},{"purpose":"MAILING","street_1":"20669 BOND RD NE","city":"POULSBO","state":"WA","postal_code":"983706525","country_code":"US","street_2":"SUITE 200","phone":"3607796527","fax":"3606972743"}],"license":{"state":"WA","number":"600558138"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"7009293","state":"WA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040227000266","type_code":"12-49","type_desc":"PART B SUPPLIER - AMBULATORY SURGICAL CENTER","state":"WA","pac_id":"5092601799"},{"enrlmt_id":"O20200723002299","type_code":"12-69","type_desc":"PART B SUPPLIER - INDEPENDENT CLINICAL LABORATORY","state":"WA","pac_id":"5092601799"}]},"enumeration_date":"2005-07-26","last_updated":"2021-12-28","_meta":{"source":"NPPES","snapshot_date":"2021-12-28","doc_url":"https://findmynpi.com/api"}}