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KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 NPI 1891883435


NPI Information

NPI: 1891883435
Provider Name: KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2

Doing Business As: EVERGREEN HEALTHCARE OB HOSPITALISTS

Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Organization

Specialization: Obstetrics

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 obstetrics obstetrics gynecology in Kirkland, WA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 NPI is 1891883435. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Evergreen Healthcare Ob Hospitalists.

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 Tina Christine Mycroft .
The authorized official title is Cfo and has the following contact phone number (425) 899-2606.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 7/7/2022.


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
1207VX0000XObstetrics & GynecologyObstetricsYes

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
17127426MEDICAIDWASHINGTON
2CG8137OTHERWASHINGTONMEDICARE RAILROAD
3CJ9678OTHERWASHINGTONMEDICARE RAILROAD
4CQ2437OTHERWASHINGTONMEDICARE RAILROAD
5CG2833OTHERWASHINGTONMEDICARE RAILROAD

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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