Providence Behavioral Health

LBN: Providence Everett Medical Center
Providence Behavioral Health is an health care organization with primary practice located at 916 Pacific Ave 1 South, Everett WA 98201-4147. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty. Providence Everett Medical Center can be contacted via phone (425) 258-7390, or through Kobayashi, Joyce via phone (425) 317-0186.

Contact Information

Primary practice address
916 Pacific Ave 1 South Everett WA 98201-4147
Phone: (425) 258-7390
Fax: (425) 258-7379
Website:
Map and Directions
Authorized official contact:
Name: Kobayashi, Joyce
Phone: (425) 317-0186

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X Washington
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X Washington

Profile Details

NPI number 1770643629
LBN Legal business name Providence Everett Medical Center
DBA Doing business as Providence Behavioral Health
Authorized official Kobayashi, Joyce
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated Sep 23rd, 2008 - about 18 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 1770643629 NPPES
Washington MEDICAID 3200342
Washington MEDICAID 7075161

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