Country Doctor Community Clinic in Seattle - Community Health
Country Doctor Community Clinic - NPI 1629055900
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 1629055900. The last update date is 2022-08-03.
Country Doctor Community Clinic's current location address is 2101 E Yesler Way Ste 210, Seattle, Washington. You can contact this provider via phone number 2062991937 and fax number 2062991920. The mailing address for Country Doctor Community Clinic is 2101 E Yesler Way Ste 210, Seattle, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Country Doctor Community Clinic |
|---|---|
| Address | 2101 E Yesler Way Ste 210, Seattle, Washington |
| Phone Number | 2062991937 |
| Fax Number | 2062991920 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BILLING AN |
|---|---|
| Authorized Official Name | Treptow Angela |
| Telephone Number | 2062991937 |
NPI Number Detail
| NPI Number | 1629055900 |
|---|---|
| Provider Enumeration Date | 2005-12-28 |
| Last Updated Date | 2022-08-03 |
Provider Mailing Address Detail
| Address | 2101 E Yesler Way Ste 210 |
|---|---|
| City | Seattle |
| State | Washington (WA) |
| Post Code | 981225959 |
| Phone Number | 2062991937 |
| Fax Number | 2062991920 |
Provider's Primary Taxonomy Detail
| Speciality | Community Health |
|---|---|
| Taxonomy | 261Qc1500X |
| Licence No | 601583685 |
|
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 |
|---|---|---|---|
| 8064602 | WA | -- | |
| 7034598 | WA | -- | |
| 8016438 | WA | -- | |
| 7900632 | WA | -- | |
| 6013965 | WA | -- | |
| 8016081 | WA | -- | |
| 16943 | WA | L&I | |
| 7034044 | WA | -- | |
| 600508852 | WA | UBI | |
| 6014948 | WA | -- |
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What is the Country Doctor Community Clinic's 1629055900?
The Country Doctor Community Clinic's NPI (National Provider Identifier) Number is 1629055900. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Country Doctor Community Clinic located?
The Country Doctor Community Clinic is located at 2101 E Yesler Way Ste 210, Seattle, WA 981225959.
What is Country Doctor Community Clinic's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Country Doctor Community Clinic's specialized field of practice is Community Health, and the corresponding taxonomy code that categorizes this area of specialization is 261Qc1500X.
On what date did the Country Doctor Community Clinic receive the assignment of its 1629055900 from the Centers for Medicare & Medicaid Services?
The Country Doctor Community Clinic was issued its 1629055900 by the Centers for Medicare & Medicaid Services on 2005-12-28.
As of what date were the Country Doctor Community Clinic's details last updated?
The information pertaining to the Country Doctor Community Clinic, including its address, specialty, and other details, was most recently updated on 2022-08-03.