Providence Everett Medical Center in Everett - Addiction Medicine
Providence Everett Medical Center - NPI 1770643629
Providence Everett Medical Center is a Addiction Medicine in Everett, Washington. Providence Everett Medical Center practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Providence Everett Medical Center is 1770643629. 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 | 1770643629 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| 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 | Addiction Medicine |
|---|---|
| Taxonomy | 207Qa0401X |
|
Definition: A family medicine physician who specializes in the diagnosis and treatment of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3200342 | WA | -- | |
| 7075161 | WA | -- |
Post Comment/ Review Below
What is the Providence Everett Medical Center's 1770643629?
The Providence Everett Medical Center's NPI (National Provider Identifier) Number is 1770643629. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Providence Everett Medical Center?
The Providence Everett Medical Center is physically situated at 909 N Broadway, in the city of Everett, state of 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 Addiction Medicine, and the corresponding taxonomy classification code for this specialized field is 207Qa0401X.
On what date was the 1770643629 assigned to Providence Everett Medical Center?
The Providence Everett Medical Center was issued its 1770643629 on 2006-12-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Providence Everett Medical Center most recently updated or revised?
The information pertaining to Providence Everett Medical Center, including its address, specialty, and other relevant details, was last updated or revised on 2008-09-23.