Country Doctor Community Health Centers-Family Planning

LBN: Country Doctor Community Clinic
Country Doctor Community Health Centers-Family Planning is an health care organization with primary practice located at 500 19Th Ave E , Seattle WA 98112-4007. The organization recently has only one registered license in Ambulatory Health Care Facilities / Family Planning, Non-Surgical, which is considered as the primary health care specialty. Country Doctor Community Clinic can be contacted via phone (206) 299-1620, or through Evans, Shonnie via phone (206) 299-1984.

Contact Information

Primary practice address
500 19Th Ave E Seattle WA 98112-4007
Phone: (206) 299-1620
Fax: (206) 299-1622
Website:
Map and Directions
Authorized official contact:
Name: Evans, Shonnie
Phone: (206) 299-1984

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Family Planning, Non-Surgical 261QF0050X

Profile Details

NPI number 1952592230
LBN Legal business name Country Doctor Community Clinic
DBA Doing business as Country Doctor Community Health Centers-Family Planning
Authorized official Evans, Shonnie
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2007
Last updated Jun 23rd, 2008 - about 16 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 1952592230 NPPES
Washington MEDICAID 7900632

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