1053359729 NPI number — HARBORVIEW MEDICAL CENTER

Table of content: (NPI 1053359729)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053359729 NPI number — HARBORVIEW MEDICAL CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HARBORVIEW MEDICAL CENTER
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:
Provider Other Organization Name Type Code:
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:
1053359729
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/20/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 34001
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SEATTLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98124-1001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-744-3000
Provider Business Mailing Address Fax Number:
206-744-9390

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
325 9TH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-520-5000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
WALLEY
Authorized Official First Name:
SOMMER
Authorized Official Middle Name:
KLEWENO
Authorized Official Title or Position:
INTERIM CEO
Authorized Official Telephone Number:
206-744-3000

Provider Taxonomy Codes

  • Taxonomy code: 261QS0112X , with the licence number:  H-029 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 273R00000X , with the licence number: H-029 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 273Y00000X , with the licence number: H-029 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282N00000X , with the licence number: H-029 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 335E00000X , with the licence number: H-029 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 7111651 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7117468 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 9627225 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 072934503 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7111644 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7407810 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7600331 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 9637653 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3100062 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7111677 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1993385 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7106883 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3018298 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7406515 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 072934502 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7407794 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 110973400 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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