Vmc Fairwood Primary Care

LBN: Public Hospital District #1 Of King County
Vmc Fairwood Primary Care is an health care organization with primary practice located at 14410 Se Petrovitsky Rd Suite 104, Renton WA 98058-8900. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical. Allopathic & Osteopathic Physicians / Adult Medicine is the primary health care specialty. Public Hospital District #1 Of King County can be contacted via phone (425) 656-4242, or through Farley, Melissa via phone (425) 917-6282.

Contact Information

Primary practice address
14410 Se Petrovitsky Rd Suite 104 Renton WA 98058-8900
Phone: (425) 656-4242
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Farley, Melissa CPC
Phone: (425) 917-6282

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1649227380
LBN Legal business name Public Hospital District #1 Of King County
DBA Doing business as Vmc Fairwood Primary Care
Authorized official Farley, Melissa CPC
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2006
Last updated Jan 15th, 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 1649227380 NPPES
Washington MEDICAID 7095839

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