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KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 NPI 1467542639


NPI Information

NPI: 1467542639
Provider Name: KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2

Doing Business As: EVERGREENHEALTH MEDICAL GROUP PRO FEES

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
12040 NE 128TH ST
MS 105
KIRKLAND, WA
ZIP 98034
Phone: (425) 899-2560
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KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 is an internal medicine in Kirkland, WA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 NPI is 1467542639. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Evergreenhealth Medical Group Pro Fees.

The provider's business location address is:

12040 NE 128TH ST
MS 105
KIRKLAND, WA
ZIP 98034-013
Phone: (425) 899-2560
Fax: (425) 899-2079

The provider's authorized official is Frank Hemeon .
The authorized official title is Interim Cfo and has the following contact phone number (425) 899-2606.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 11/7/2023.


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
1103G00000XClinical NeuropsychologistNo
2363LA2200XNurse PractitionerAdult HealthNo
3207R00000XInternal MedicineYes

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
1CG2833OTHERWASHINGTONMEDICARE RAILROAD
2CQ2437OTHERWASHINGTONMEDICARE RAILROAD
37141351MEDICAIDWASHINGTON
4CG8137OTHERWASHINGTONMEDICARE RAILROAD
5CJ9678OTHERWASHINGTONMEDICARE RAILROAD
67099559MEDICAIDWASHINGTON

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

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.