1942365374 NPI number — SWEDISH HEALTH SERVICES

Table of content: (NPI 1942365374)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942365374 NPI number — SWEDISH HEALTH SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SWEDISH HEALTH SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SWEDISH PHARMACY CHERRY HILL
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942365374
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/09/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
550 17TH AVE
Provider Second Line Business Mailing Address:
STE 180
Provider Business Mailing Address City Name:
SEATTLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98122-5788
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-320-2699
Provider Business Mailing Address Fax Number:
206-320-3395

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
550 17TH AVE
Provider Second Line Business Practice Location Address:
STE 180
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98122-5788
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-320-2699
Provider Business Practice Location Address Fax Number:
206-320-3395
Provider Enumeration Date:
12/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HARRIS
Authorized Official First Name:
DAN
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF FINANCIAL OFFICER
Authorized Official Telephone Number:
206-628-2550

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  PHAR.CF.60340315 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 6004931 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2108510 . This is a "PK" identifier . This identifiers is of the category "OTHER".




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