COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY NPI 1669504395

NPI Information

NPI: 1669504395
Provider Name: COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY

Other Name: CHC OF SNOHOMISH COUNTY 112TH MEDICAL

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1019 112TH ST SW
EVERETT, WA
ZIP 98204
Phone: (425) 551-6200
Get Directions

COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY is a federally qualified health center (fqhc) clinic center in Everett, WA. COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY NPI is 1669504395. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Chc Of Snohomish County 112th Medical.

The provider's business location address is:

1019 112TH ST SW
EVERETT, WA
ZIP 98204
Phone: (425) 551-6200
Fax: (425) 551-6017

The provider's authorized official is Robert C Farrell .
The authorized official title is Executive Director and has the following contact phone number (425) 789-3700.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 8/12/2011.

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	207Q00000X	Family Medicine		7034036	WASHINGTON	No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	7034036	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	7034036	MEDICAID	WASHINGTON
2	8934243	OTHER	WASHINGTON	CRIME VICTIMS COMP
3	32770	OTHER	WASHINGTON	WORKER COMPENSATION
4	50-1851	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON	MEDICARE FQHC
5	001260100	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON	MEDICARE PART B

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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