PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY NPI 1649227380

NPI Information

  • NPI: 1649227380
  • Provider Name: PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Organization
  • Doing Business As: VMC FAIRWOOD PRIMARY CARE
  • Address: 14410 SE PETROVITSKY RD
    SUITE 104
    RENTON, WA
    ZIP 98058
  • Phone: (425) 656-4242

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NPI Details

PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY is an adult medicine family medicine in Renton, WA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY NPI is 1649227380. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Vmc Fairwood Primary Care.

The provider's business location address is:

14410 SE PETROVITSKY RD
SUITE 104
RENTON, WA
ZIP 98058-900
Phone: (425) 656-4242

The provider's authorized official is Melissa Farley .
The authorized official title is Technical Coordinator and has the following contact phone number (425) 917-6282.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 1/15/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalNo
2207QA0505XFamily MedicineAdult 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GAB36071MEDICARE PINWASHINGTON
27095839MEDICAIDWASHINGTON

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: 11/21/2025

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