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PREMISE HEALTH OF WASHINGTON MEDICAL P.C NPI 1073044491


NPI Information

NPI: 1073044491
Provider Name: PREMISE HEALTH OF WASHINGTON MEDICAL, P.C

Doing Business As: THE HEALTH CLINIC

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 50D2132213

Address:
1100 FAIRVIEW AVE N
SEATTLE, WA
ZIP 98109
Phone: (206) 667-3000
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PREMISE HEALTH OF WASHINGTON MEDICAL, P.C is a multi-specialty clinic center in Seattle, WA. PREMISE HEALTH OF WASHINGTON MEDICAL, P.C NPI is 1073044491. The provider is registered as an organization entity type.
The provider Is Doing Business As The Health Clinic.

The provider's business location address is:

1100 FAIRVIEW AVE N
SEATTLE, WA
ZIP 98109-433
Phone: (206) 667-3000
Fax: (206) 667-2273

The provider's authorized official is Jonathan Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.

The CLIA number assigned to this NPI record is 50D2132213 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2017 and was last updated on 8/15/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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