NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

PROVIDENCE EVERETT HEALTHCARE CLINIC
LBN PROVIDENCE EVERETT MEDICAL CENTER
1001 N BROADWAY
SUITE A-3
EVERETT, WA98201-1586
 Phone: 425-317-0300
 Fax: 425-317-0303
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health

261QC1500X
 

Clinic/Center

261Q00000X
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Family Planning, Non-Surgical

261QF0050X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for PROVIDENCE EVERETT HEALTHCARE CLINIC

NPI Number 1992871735
LBN Legal business name PROVIDENCE EVERETT MEDICAL CENTER
DBA Doing business as PROVIDENCE EVERETT HEALTHCARE CLINIC
Authorized official JOYCE KOBAYASHI - (DIR REVENUE CYCLE MGMT NWSA)
Entity Organization
Organization subpart 1 No
Enumeration date 11/24/2006
Last updated 09/23/2008 - About 11 years ago
Identifiers
WA Other 7901341 FAMILY PLANNING
WA Other 7136880 MEDICAID CLINICAL PSYCHOL
WA Other 7119365 MEDICAID FAMILY PRACTICE
WA Other 9650268 MEDICAID MENTAL HEALTH
WA Other GAB39976 MEDICARE GROUP NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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