Chc Of Snohomish County 112Th Medical
LBN: Community Health Center Of Snohomish County
Chc Of Snohomish County 112Th Medical is an health care organization with primary practice located at 1019 112Th St Sw , Everett WA 98204. 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) 551-6200, or through Farrell, Robert C via phone (425) 789-3700.
Contact Information
Primary practice address
1019 112Th St Sw
Everett WA 98204
Phone: (425) 551-6200
Fax: (425) 551-6017
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 | 1669504395 |
|---|---|
| LBN Legal business name | Community Health Center Of Snohomish County |
| DBA Doing business as | Chc Of Snohomish County 112Th Medical |
| Authorized official | Farrell, Robert C |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Mar 9th, 2007 |
| Last updated | Aug 12th, 2011 - about 13 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 | 1669504395 | NPPES |
| Washington | MEDICAID | 7034036 | |
| Washington | Other | 8934243 | |
| Washington | Other | 32770 |
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