Evergreen Cardiology Clinic, Ps

LBN: Evergreen Cardiology Care Center
Evergreen Cardiology Clinic, Ps is an health care organization with primary practice located at 8301 161St Ave Ne Suite 302, Redmond WA 98052-3858. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Evergreen Cardiology Care Center can be contacted via phone (800) 243-5854, or through Enomoto, Dennis M via phone (425) 882-4700.

Contact Information

Primary practice address
8301 161St Ave Ne Suite 302 Redmond WA 98052-3858
Phone: (800) 243-5854
Fax: (206) 824-9510
Website:
Map and Directions
Authorized official contact:
Name: Enomoto, Dennis M Doctor of Medicine (MD)
Phone: (425) 882-4700

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1023061553
LBN Legal business name Evergreen Cardiology Care Center
DBA Doing business as Evergreen Cardiology Clinic, Ps
Authorized official Enomoto, Dennis M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1023061553 NPPES
Washington MEDICAID 1086495

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