COUNTRY DOCTOR COMMUNITY CLINIC NPI 1629055900

NPI Information

NPI: 1629055900
Provider Name: COUNTRY DOCTOR COMMUNITY CLINIC

Doing Business As: COUNTRY DOCTOR COMMUNITY HEALTH CENTERS

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
500 19TH AVE E
SEATTLE, WA
ZIP 98112
Phone: (206) 299-1600
Get Directions

COUNTRY DOCTOR COMMUNITY CLINIC is a community health clinic center in Seattle, WA. COUNTRY DOCTOR COMMUNITY CLINIC NPI is 1629055900. The provider is registered as an organization entity type.
The provider Is Doing Business As Country Doctor Community Health Centers.

The provider's business location address is:

500 19TH AVE E
SEATTLE, WA
ZIP 98112-007
Phone: (206) 299-1600
Fax: (206) 299-1633

The provider's authorized official is Linda M Mcveigh .
The authorized official title is Executive Director and has the following contact phone number (206) 299-1628.

The CLIA number assigned to this NPI record is 50D0632210 - community clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/28/2005 and was last updated on 11/1/2012.

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	License Number	License State	Primary
1	251B00000X	Case Management				No
2	261QC1500X	Clinic/Center	Community Health	601583685	WASHINGTON	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	16943	OTHER	WASHINGTON	L&I
2	6014948	MEDICAID	WASHINGTON
3	8016081	MEDICAID	WASHINGTON
4	8064602	MEDICAID	WASHINGTON
5	7900632	MEDICAID	WASHINGTON
6	501802	MEDICARE OSCAR/CERTIFICATION	WASHINGTON
7	600508852	OTHER	WASHINGTON	UBI
8	G000148300	MEDICARE PIN	WASHINGTON
9	7034598	MEDICAID	WASHINGTON
10	8016438	MEDICAID	WASHINGTON
11	6013965	MEDICAID	WASHINGTON
12	7034044	MEDICAID	WASHINGTON
13	7590243	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: 11/14/2023

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 »