Fairfax Physician Group

LBN: Bhc Fairfax Hospital Inc.
Fairfax Physician Group is an health care organization with primary practice located at 10200 Ne 132Nd St , Kirkland WA 98034-2831. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Bhc Fairfax Hospital Inc. can be contacted via phone (425) 821-2000, or through Trachte, Peggy via phone (425) 284-1708.

Contact Information

Primary practice address
10200 Ne 132Nd St Kirkland WA 98034-2831
Phone: (425) 821-2000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Trachte, Peggy
Phone: (425) 284-1708

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1104959097
LBN Legal business name Bhc Fairfax Hospital Inc.
DBA Doing business as Fairfax Physician Group
Authorized official Trachte, Peggy
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Dec 12th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104959097 NPPES
Washington MEDICAID 7104326
Washington MEDICAID 7159908

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