Providence Everett Medical Center in Everett - Clinical

Providence Everett Medical Center - NPI 1992871735

Providence Everett Medical Center is a Clinical in Everett, Washington. Providence Everett Medical Center practices all healthcare services and medical treatments related to Clinical. The NPI Number for Providence Everett Medical Center is 1992871735. The last update date is 2008-09-23.

Providence Everett Medical Center's current location address is 909 N Broadway, Everett, Washington. You can contact this provider via phone number 4253170699 and fax number 4253170291. The mailing address for Providence Everett Medical Center is 909 N Broadway, Everett, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Providence Everett Medical Center
Address 909 N Broadway, Everett, Washington
Phone Number 4253170699
Fax Number 4253170291
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIR REVENU
Authorized Official Name Kobayashi Joyce
Telephone Number 4253170186

NPI Number Detail

NPI Number 1992871735
Provider Enumeration Date 2006-11-24
Last Updated Date 2008-09-23

Provider Mailing Address Detail

Address 909 N Broadway
City Everett
State Washington (WA)
Post Code 982011409
Phone Number 4253170699
Fax Number 4253170291

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7901341 WA FAMILY PLANNING
9650268 WA MEDICAID MENTAL HEALTH
7136880 WA MEDICAID CLINICAL PSYCHOL
7119365 WA MEDICAID FAMILY PRACTICE
GAB39976 WA MEDICARE GROUP NUMBER

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FAQs about Providence Everett Medical Center

What is the unique 10-digit identification code issued to Providence Everett Medical Center by the Centers for Medicare & Medicaid Services?

The Providence Everett Medical Center has been assigned the NPI (National Provider Identifier) 1992871735 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Providence Everett Medical Center's physical address?

The Providence Everett Medical Center is physically located at 909 N Broadway, in the city of Everett, WA, with the postal code 982011409.

What is Providence Everett Medical Center's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Providence Everett Medical Center is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1992871735 to Providence Everett Medical Center?

The Providence Everett Medical Center received its 1992871735 assignment from the Centers for Medicare & Medicaid Services on 2006-11-24.

As of what date were the details pertaining to Providence Everett Medical Center last refreshed?

The information related to the Providence Everett Medical Center, including its address, specialty, and other relevant details, was last updated on 2008-09-23.

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