Fern Life Center

LBN: Fern Life Center
Fern Life Center is an health care organization with primary practice located at 410 Newport Way Nw Suite B, Issaquah WA 98027-3116. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Fern Life Center can be contacted via phone (425) 391-3376, or through Fitzgerald, Elizabeth Tillman via phone (425) 391-3376.

Contact Information

Primary practice address
410 Newport Way Nw Suite B Issaquah WA 98027-3116
Phone: (425) 391-3376
Fax: (425) 391-3378
Website:
Map and Directions
Authorized official contact:
Name: Fitzgerald, Elizabeth Tillman Registered Dietitian (RD)
Phone: (425) 391-3376

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X 020710DI00000858 Washington

Profile Details

NPI number 1245623024
LBN Legal business name Fern Life Center
DBA Doing business as
Authorized official Fitzgerald, Elizabeth Tillman Registered Dietitian (RD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 18th, 2015
Last updated Mar 18th, 2015 - about 10 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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