Evergreenhealth Medical Group Pro Fees

LBN: King County Public Hospital District No 2
Evergreenhealth Medical Group Pro Fees is an health care organization with primary practice located at 12040 Ne 128Th St Ms 105, Kirkland WA 98034-3013. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. King County Public Hospital District No 2 can be contacted via phone (425) 899-2560, or through Hemeon, Frank via phone (425) 899-2606.

Contact Information

Primary practice address
12040 Ne 128Th St Ms 105 Kirkland WA 98034-3013
Phone: (425) 899-2560
Fax: (425) 899-2079
Website:
Map and Directions
Authorized official contact:
Name: Hemeon, Frank
Phone: (425) 899-2606

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X

Profile Details

NPI number 1467542639
LBN Legal business name King County Public Hospital District No 2
DBA Doing business as Evergreenhealth Medical Group Pro Fees
Authorized official Hemeon, Frank
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 16th, 2006
Last updated Nov 7th, 2023 - about last year

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 1467542639 NPPES
Washington Other CG2833 MEDICARE RAILROAD
Washington Other CQ2437 MEDICARE RAILROAD
Washington MEDICAID 7141351 MEDICARE RAILROAD
Washington Other CG8137 MEDICARE RAILROAD
Washington Other CJ9678 MEDICARE RAILROAD
Washington MEDICAID 7099559 MEDICARE RAILROAD

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