Providence Comprehensive Breast Center

LBN: Providence Everett Medical Center
Providence Comprehensive Breast Center is an health care organization with primary practice located at 900 Pacific Ave Suite 200, Everett WA 98201-4168. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, Mammography, which is considered as the primary health care specialty. Providence Everett Medical Center can be contacted via phone (425) 258-7900, or through Kobayashi, Joyce via phone (425) 317-0186.

Contact Information

Primary practice address
900 Pacific Ave Suite 200 Everett WA 98201-4168
Fax: (425) 258-7351
Website:
Authorized official contact:
Name: Kobayashi, Joyce

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology, Mammography 261QR0206X

Profile Details

NPI number 1447326574
LBN Legal business name Providence Everett Medical Center
DBA Doing business as Providence Comprehensive Breast Center
Authorized official Kobayashi, Joyce
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2006
Last updated Sep 23rd, 2008 - about 16 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 1447326574 NPPES
Washington MEDICAID 7118995

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