Stevens Hospital, Stevens Memorial Hospital

LBN: Phd#2 Of Snohomish County
Stevens Hospital, Stevens Memorial Hospital is an health care organization with primary practice located at 21601 76Th Ave W , Edmonds WA 98026-7507. The organization recently has only one registered license in Hospital Units / Psychiatric Unit, which is considered as the primary health care specialty. Phd#2 Of Snohomish County can be contacted via phone (425) 640-4000, or through Wangsmo, Gary via phone (425) 640-4113.

Contact Information

Primary practice address
21601 76Th Ave W Edmonds WA 98026-7507
Fax: (425) 640-4432
Website:
Authorized official contact:
Name: Wangsmo, Gary

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Psychiatric Unit 273R00000X H-138 Washington

Profile Details

NPI number 1023006061
LBN Legal business name Phd#2 Of Snohomish County
DBA Doing business as Stevens Hospital, Stevens Memorial Hospital
Authorized official Wangsmo, Gary
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 13th, 2005
Last updated Aug 28th, 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 1023006061 NPPES
Washington Other W718582 CHAMPUS
Washington Other MC150 CHAMPUS
Washington Other ST0092 CHAMPUS
Washington Other 150 CHAMPUS
Washington Other 11031 CHAMPUS
Washington Other 0288 CHAMPUS
Washington MEDICAID 3500071 CHAMPUS
Washington Other HP150 CHAMPUS
Washington Other 0065668 CHAMPUS
Washington Other 6580520 CHAMPUS

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