Providence Children'S Center

LBN: Providence Everett Medical Center
Providence Children'S Center is an health care organization with primary practice located at 900 Pacific Ave First Floor, Everett WA 98201-4168. The organization recently has 4 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is the primary health care specialty. Providence Everett Medical Center can be contacted via phone (425) 258-7311, or through Kobayashi, Joyce via phone (425) 317-0186.

Contact Information

Primary practice address
900 Pacific Ave First Floor Everett WA 98201-4168
Phone: (425) 258-7311
Fax: (425) 258-7618
Website:
Map and Directions
Authorized official contact:
Name: Kobayashi, Joyce
Phone: (425) 317-0186

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X

Profile Details

NPI number 1255495024
LBN Legal business name Providence Everett Medical Center
DBA Doing business as Providence Children'S Center
Authorized official Kobayashi, Joyce
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2006
Last updated Sep 22nd, 2008 - 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 1255495024 NPPES
Washington MEDICAID 7102718

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