Community Health Center Of Snohomish County Lynnwood
LBN: Community Health Center Of Snohomish County
Community Health Center Of Snohomish County Lynnwood is an health care organization with primary practice located at 4111 194Th St Sw Ste 100 , Lynnwood WA 98036-4604. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Community Health Center Of Snohomish County can be contacted via phone (425) 835-5200, or through Green, Kenneth M via phone (425) 789-3700.
Contact Information
Primary practice address
4111 194Th St Sw Ste 100
Lynnwood WA 98036-4604
Phone: (425) 835-5200
Fax: (425) 835-5201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 7034036 | Washington |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 7034036 | Washington |
Profile Details
| NPI number | 1013049741 |
|---|---|
| LBN Legal business name | Community Health Center Of Snohomish County |
| DBA Doing business as | Community Health Center Of Snohomish County Lynnwood |
| Authorized official | Green, Kenneth M |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Mar 9th, 2007 |
| Last updated | Sep 22nd, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013049741 | NPPES |
| Washington | MEDICAID | 7034036 | |
| Washington | Other | 32770 | |
| Washington | Other | 8934243 |
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