Pemc Family Resource Center

LBN: Providence Everett Medical Center
Pemc Family Resource 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 Behavioral Health & Social Service Providers / Social Worker, Nursing Service Providers / Registered Nurse, Ambulatory Health Care Facilities / Clinic/Center, Suppliers / Durable Medical Equipment & Medical Supplies. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Providence Everett Medical Center can be contacted via phone (425) 304-6000, 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) 304-6000
Fax: (425) 304-6048
Website:
Map and Directions
Authorized official contact:
Name: Kobayashi, Joyce
Phone: (425) 317-0186

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X Washington
Nursing Service Providers / Registered Nurse 163W00000X Washington
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X Washington
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Washington

Profile Details

NPI number 1982805784
LBN Legal business name Providence Everett Medical Center
DBA Doing business as Pemc Family Resource Center
Authorized official Kobayashi, Joyce
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982805784 NPPES
Washington MEDICAID 9044397
Washington MEDICAID 7407125

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