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PROVIDENCE EVERETT MEDICAL CENTER NPI 1447326574


NPI Information

NPI: 1447326574
Provider Name: PROVIDENCE EVERETT MEDICAL CENTER

Doing Business As: PROVIDENCE COMPREHENSIVE BREAST CENTER

Classification: Clinic/Center - 261QR0206X
Entity Type: Organization

Specialization: Radiology, Mammography

Address:
900 PACIFIC AVE
SUITE 200
EVERETT, WA
ZIP 98201
Phone: (425) 258-7900
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PROVIDENCE EVERETT MEDICAL CENTER is a radiology and mammography clinic center in Everett, WA. PROVIDENCE EVERETT MEDICAL CENTER NPI is 1447326574. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Comprehensive Breast Center.

The provider's business location address is:

900 PACIFIC AVE
SUITE 200
EVERETT, WA
ZIP 98201-168
Phone: (425) 258-7900
Fax: (425) 258-7351

The provider's authorized official is Joyce Kobayashi .
The authorized official title is Dir Revenue Cycle Mgmt Nwsa and has the following contact phone number (425) 317-0186.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 9/23/2008.


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
1261QR0206XClinic/CenterRadiology, MammographyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17118995MEDICAIDWASHINGTON
2GAB39916MEDICARE PINWASHINGTON

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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