Country Doctor Community Clinic in Seattle - Community Health

Country Doctor Community Clinic - NPI 1164642278

Country Doctor Community Clinic is a Community Health in Seattle, Washington. Country Doctor Community Clinic practices all healthcare services and medical treatments related to Community Health. The NPI Number for Country Doctor Community Clinic is 1164642278. The last update date is 2012-10-31.

Country Doctor Community Clinic's current location address is 2101 E Yesler Way, Seattle, Washington. You can contact this provider via phone number 2062991984 and fax number 2062991920. The mailing address for Country Doctor Community Clinic is 2101 E Yesler Way, Seattle, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Country Doctor Community Clinic
Address 2101 E Yesler Way, Seattle, Washington
Phone Number 2062991984
Fax Number 2062991920
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Mcveigh M Linda
Telephone Number 2062991628

NPI Number Detail

NPI Number 1164642278
Provider Enumeration Date 2007-04-30
Last Updated Date 2012-10-31

Provider Mailing Address Detail

Address 2101 E Yesler Way
City Seattle
State Washington (WA)
Post Code 981225959
Phone Number 2062991984
Fax Number 2062991920

Provider's Primary Taxonomy Detail

Speciality Community Health
Taxonomy 261Qc1500X
Definition:
Provides primary medical, dental, mental health, social and preventive services tailored to its community.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
16943 WA LABOR & INDUSTRIES
7056617 WA --
7402852 WA --
7900632 WA --

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FAQs about Country Doctor Community Clinic

What is the Country Doctor Community Clinic's unique identification number?

The Country Doctor Community Clinic has been assigned the NPI (National Provider Identifier) Number 1164642278 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Country Doctor Community Clinic?

The Country Doctor Community Clinic is situated at 2101 E Yesler Way, in the city of Seattle, state of WA, with the zip code 981225959.

What is Country Doctor Community Clinic's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Country Doctor Community Clinic is Community Health, and the taxonomy classification code that categorizes this area of expertise is 261Qc1500X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1164642278 to Country Doctor Community Clinic?

The Centers for Medicare & Medicaid Services originally issued the 1164642278 to Country Doctor Community Clinic on 2007-04-30.

When was the Country Doctor Community Clinic's information last updated?

The Country Doctor Community Clinic's information was last updated on 2012-10-31.

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