Holly Park Meical And Dental Clinic

LBN: International Community Health Services
Holly Park Meical And Dental Clinic is an health care organization with primary practice located at 3815 S Othello St 2Nd Fl., Seattle WA 98118-3510. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. International Community Health Services can be contacted via phone (206) 788-3500, or through Phung, Peggy via phone (206) 788-3605.

Contact Information

Primary practice address
3815 S Othello St 2Nd Fl. Seattle WA 98118-3510
Phone: (206) 788-3500
Fax: (206) 788-3521
Website:
Map and Directions
Authorized official contact:
Name: Phung, Peggy
Phone: (206) 788-3605

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X

Profile Details

NPI number 1538351085
LBN Legal business name International Community Health Services
DBA Doing business as Holly Park Meical And Dental Clinic
Authorized official Phung, Peggy
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2007
Last updated Aug 17th, 2007 - about 17 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 1538351085 NPPES
Washington MEDICAID 7137854

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