INTERNATIONAL COMMUNITY HEALTH SERVICES NPI 1275657819

NPI Information

INTERNATIONAL COMMUNITY HEALTH SERVICES is a community health registered nurse in Seattle, WA. INTERNATIONAL COMMUNITY HEALTH SERVICES NPI is 1275657819. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Holly Park Medical & Dental Clinic.

The provider's business location address is:

3815 S OTHELLO ST
2ND FLOOR
SEATTLE, WA
ZIP 98118-510
Phone: (206) 788-3500
Fax: (206) 788-3521

The provider's authorized official is Hermes Shahbazian .
The authorized official title is Cfo and has the following contact phone number (206) 788-3618.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 3/29/2021.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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