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AMFM HEALTHCARE WASHINGTON NPI 1902562333


NPI Information

NPI: 1902562333
Provider Name: AMFM HEALTHCARE WASHINGTON

Doing Business As: MISSION CONNECTION HEALTHCARE

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
6990 E GREEN LAKE WAY N
SUITE G
SEATTLE, WA
ZIP 98115
Phone: (206) 558-5479
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AMFM HEALTHCARE WASHINGTON is a mental health (including community mental health center) clinic center in Seattle, WA. AMFM HEALTHCARE WASHINGTON NPI is 1902562333. The provider is registered as an organization entity type.
The provider Is Doing Business As Mission Connection Healthcare.

The provider's business location address is:

6990 E GREEN LAKE WAY N
SUITE G
SEATTLE, WA
ZIP 98115
Phone: (206) 558-5479
Fax: (949) 579-2876

The provider's authorized official is Jeffrey Farbman .
The authorized official title is Director Of Revenue Cycle and has the following contact phone number (949) 424-9921.

The enumeration date for this NPI number is 11/10/2021 and was last updated on 6/8/2023.


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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1BHA.FS.61272048OTHERWASHINGTONWASHINGTON STATE DEPARTMENT OF HEALTH
2578314OTHERWASHINGTONTHE JOINT COMMISSION

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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