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PROVIDENCE EVERETT MEDICAL CENTER NPI 1982805784


NPI Information

NPI: 1982805784
Provider Name: PROVIDENCE EVERETT MEDICAL CENTER

Doing Business As: PEMC FAMILY RESOURCE CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
900 PACIFIC AVE
FIRST FLOOR
EVERETT, WA
ZIP 98201
Phone: (425) 304-6000
Get Directions

PROVIDENCE EVERETT MEDICAL CENTER is a clinic center in Everett, WA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PROVIDENCE EVERETT MEDICAL CENTER NPI is 1982805784. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pemc Family Resource Center.

The provider's business location address is:

900 PACIFIC AVE
FIRST FLOOR
EVERETT, WA
ZIP 98201-168
Phone: (425) 304-6000
Fax: (425) 304-6048

The provider's authorized official is Joyce Kobayashi .
The authorized official title is Dir Revenue Cycle Mgmt Nwsa and has the following contact phone number (425) 317-0186.

The enumeration date for this NPI number is 5/30/2007 and was last updated on 9/21/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial WorkerWASHINGTONNo
2163W00000XRegistered NurseWASHINGTONNo
3332B00000XDurable Medical Equipment & Medical SuppliesWASHINGTONNo
4261Q00000XClinic/CenterWASHINGTONYes

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
17407125MEDICAIDWASHINGTON
29044397MEDICAIDWASHINGTON

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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