Providence Everett Medical Center in Everett - Addiction Medicine

Providence Everett Medical Center - NPI 1972610418

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 1972610418. 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 4253170264 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 4253170264
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 1972610418
Provider Enumeration Date 2006-08-23
Last Updated Date 2008-09-23

Provider Mailing Address Detail

Address 909 N Broadway
City Everett
State Washington (WA)
Post Code 982011409
Phone Number 4253170264
Fax Number 4253170291

Provider's Primary Taxonomy Detail

Speciality Addiction Medicine
Taxonomy 2084A0401X
Definition:
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7075161 WA --
7128150 WA --

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FAQs about Providence Everett Medical Center

What is the Providence Everett Medical Center's unique identification number?

The Providence Everett Medical Center has been assigned the NPI (National Provider Identifier) Number 1972610418 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Providence Everett Medical Center's facilities are geographically located?

The facilities of Providence Everett Medical Center are physically situated at the following location: 909 N Broadway, Everett, WA, 982011409.

What is Providence Everett Medical Center's specialized field of practice, and what is the corresponding taxonomy classification code?

The Providence Everett Medical Center's area of specialization is Addiction Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2084A0401X.

On what date did the Centers for Medicare & Medicaid Services assign the 1972610418 to Providence Everett Medical Center?

The Centers for Medicare & Medicaid Services assigned the 1972610418 to Providence Everett Medical Center on 2006-08-23.

As of what date was the information regarding Providence Everett Medical Center, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Providence Everett Medical Center, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-09-23.

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