INTERNATIONAL COMMUNITY HEALTH SERVICES NPI 1376659151

NPI Information

NPI: 1376659151
Provider Name: INTERNATIONAL COMMUNITY HEALTH SERVICES

Former Legal Business Name: INTERNATIONAL DISTRICT COMMUNITY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
720 8TH AVE S
SEATTLE, WA
ZIP 98104
Phone: (206) 788-3700
Get Directions

INTERNATIONAL COMMUNITY HEALTH SERVICES is a federally qualified health center (fqhc) clinic center in Seattle, WA. INTERNATIONAL COMMUNITY HEALTH SERVICES NPI is 1376659151. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is International District Community Health Center.

The provider's business location address is:

720 8TH AVE S
SEATTLE, WA
ZIP 98104-032
Phone: (206) 788-3700
Fax: (206) 788-3706

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 8/22/2006 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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	103T00000X	Psychologist		No
2	122300000X	Dentist		No
3	152W00000X	Optometrist		No
4	171100000X	Acupuncturist		No
5	207Q00000X	Family Medicine		No
6	207R00000X	Internal Medicine		No
7	208000000X	Pediatrics		No
8	2084P0800X	Psychiatry & Neurology	Psychiatry	No
9	213ES0131X	Podiatrist	Foot Surgery	No
10	251B00000X	Case Management		No
11	363A00000X	Physician Assistant		No
12	363L00000X	Nurse Practitioner		No
13	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7034051	MEDICAID	WASHINGTON

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »