PROVIDENCE EVERETT MEDICAL CENTER NPI 1992871735

NPI Information

NPI: 1992871735
Provider Name: PROVIDENCE EVERETT MEDICAL CENTER

Doing Business As: PROVIDENCE EVERETT HEALTHCARE CLINIC

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
1001 N BROADWAY
SUITE A-3
EVERETT, WA
ZIP 98201
Phone: (425) 317-0300
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PROVIDENCE EVERETT MEDICAL CENTER is a community health clinic center in Everett, WA. PROVIDENCE EVERETT MEDICAL CENTER NPI is 1992871735. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Everett Healthcare Clinic.

The provider's business location address is:

1001 N BROADWAY
SUITE A-3
EVERETT, WA
ZIP 98201-586
Phone: (425) 317-0300
Fax: (425) 317-0303

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 11/24/2006 and was last updated on 9/23/2008.

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 State	Primary
1	261Q00000X	Clinic/Center			No
2	363LF0000X	Nurse Practitioner	Family	WASHINGTON	No
3	207X00000X	Orthopaedic Surgery		WASHINGTON	No
4	207Q00000X	Family Medicine		WASHINGTON	No
5	207R00000X	Internal Medicine		WASHINGTON	No
6	103TC0700X	Psychologist	Clinical	WASHINGTON	No
7	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	WASHINGTON	No
8	363A00000X	Physician Assistant		WASHINGTON	No
9	261QF0050X	Clinic/Center	Family Planning, Non-Surgical	WASHINGTON	No
10	261QC1500X	Clinic/Center	Community Health	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	7136880	OTHER	WASHINGTON	MEDICAID CLINICAL PSYCHOL
2	9650268	OTHER	WASHINGTON	MEDICAID MENTAL HEALTH
3	7901341	OTHER	WASHINGTON	FAMILY PLANNING
4	GAB39976	OTHER	WASHINGTON	MEDICARE GROUP NUMBER
5	7119365	OTHER	WASHINGTON	MEDICAID FAMILY PRACTICE

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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