| |
1424 Broadway Everett WA 98201-1720 | |
(425) 789-2000 | |
(425) 789-2096 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1424 Broadway, Everett, Washington |
Authorized Official Name and Position | Robert C Farrell (CEO) |
Authorized Official Contact | 4257893700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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8609 Evergreen Way Everett WA 98208-2619 Ph: (425) 789-3700 | 1424 Broadway Everett WA 98201-1720 Ph: (425) 789-2000 |
NPI Number | 1932231669 |
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Provider Enumeration Date | 03/09/2007 |
Last Update Date | 03/25/2016 |
Medicare PECOS PAC ID | 0446152003 |
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Medicare Enrollment ID | O20101103000682 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932231669 | NPI | - | NPPES |
7034036 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 7034036 (Washington) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 7034036 (Washington) | Primary |
Community Health Center Of Snohomish County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 E Casino Rd, Everett, WA 98203 Phone: 425-789-3700 | |
Kidney And Arthritis Clinic P S Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3218 Nassau St, Everett, WA 98201 Phone: 425-259-9225 Fax: 425-339-3381 |