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Contact Information

BETHANY OF THE NORTHWEST
2235 LAKE HEIGHTS ROAD
EVERETT, WA98201
 Phone: 425-338-3000
 Fax: 425-338-1147
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for BETHANY OF THE NORTHWEST

NPI Number 1497884043
LBN Legal business name BETHANY OF THE NORTHWEST
Authorized official DENNEY AUSTIN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/02/2007
Last updated 01/21/2010 - About 16 years ago
Identifiers
WA License # NH1049
WA Medicaid 4110490
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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