Pemc Mental Health Consultation Services

LBN: Providence Everett Medical Center
Pemc Mental Health Consultation Services is an health care organization with primary practice located at 1321 Colby Ave , Everett WA 98201-1665. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, 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) 261-3968, or through Kobayashi, Joyce via phone (425) 317-0186.

Contact Information

Primary practice address
1321 Colby Ave Everett WA 98201-1665
Phone: (425) 261-3968
Fax: (425) 261-3967
Website:
Map and Directions
Authorized official contact:
Name: Kobayashi, Joyce
Phone: (425) 317-0186

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X Washington
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X Washington

Profile Details

NPI number 1972610418
LBN Legal business name Providence Everett Medical Center
DBA Doing business as Pemc Mental Health Consultation Services
Authorized official Kobayashi, Joyce
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 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 1972610418 NPPES
Washington MEDICAID 7075161
Washington MEDICAID 7128150

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