Providence Nicu
LBN: Providence Everett Medical Center
Providence Nicu is an health care organization with primary practice located at 900 Pacific Ave 2Nd Floor, Everett WA 98201-4168. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Medical Specialty, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care is the primary health care specialty.
Providence Everett Medical Center can be contacted via phone (425) 304-6040, or through Kobayashi, Joyce via phone (425) 317-0186.
Contact Information
Primary practice address
900 Pacific Ave 2Nd Floor
Everett WA 98201-4168
Phone: (425) 304-6040
Fax: (425) 304-6045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | Washington | |
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | Washington | |
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | Washington |
Profile Details
| NPI number | 1982789954 |
|---|---|
| LBN Legal business name | Providence Everett Medical Center |
| DBA Doing business as | Providence Nicu |
| Authorized official | Kobayashi, Joyce |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Sep 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982789954 | NPPES |
| Washington | MEDICAID | 7001738 | |
| Washington | MEDICAID | 9620998 |
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