| Providence Everett Healthcare Clinic | |
|
1001 N Broadway Suite A-3 Everett WA 98201-1586 | |
| (425) 317-0300 | |
| (425) 317-0303 |
| Full Name | Providence Everett Healthcare Clinic |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1001 N Broadway, Everett, Washington |
| Authorized Official Name and Position | Joyce Kobayashi (DIR REVENUE CYCLE MGMT NWSA) |
| Authorized Official Contact | 4253170186 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Everett Healthcare Clinic 909 N Broadway Pbo Credentialing Everett WA 98201-1409 Ph: (425) 317-0699 | Providence Everett Healthcare Clinic 1001 N Broadway Suite A-3 Everett WA 98201-1586 Ph: (425) 317-0300 |
| NPI Number | 1992871735 |
|---|---|
| Provider Enumeration Date | 11/24/2006 |
| Last Update Date | 09/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992871735 | NPI | - | NPPES |
| 7901341 | Other | WA | FAMILY PLANNING |
| 9650268 | Other | WA | MEDICAID MENTAL HEALTH |
| 7136880 | Other | WA | MEDICAID CLINICAL PSYCHOL |
| 7119365 | Other | WA | MEDICAID FAMILY PRACTICE |
| GAB39976 | Other | WA | MEDICARE GROUP NUMBER |
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