1710684469 NPI number — HARBORVIEW MEDICAL CENTER

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710684469 NPI number — HARBORVIEW MEDICAL CENTER

Employer Identification Number (EIN):

Provider Organization Name:

HARBORVIEW MEDICAL CENTER

Provider Last Name:

Provider First Name:

Provider Middle Name:

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NPI Number:

1710684469

Entity Type Code:

Organization

Replacement NPI:

Last Update Date:

02/13/2023

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

325 9TH AVE

Provider Second Line Business Mailing Address:

BOX 359885

Provider Business Mailing Address City Name:

SEATTLE

Provider Business Mailing Address State Name:

WA

Provider Business Mailing Address Postal Code:

98104

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

2120 S PLUM ST STE C

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:

98144-4539

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

206-312-8050

Provider Business Practice Location Address Fax Number:

206-752-9189

Provider Enumeration Date:

02/13/2023

Authorized Official Last Name:

ADAMS

Authorized Official First Name:

CHERYL

Authorized Official Middle Name:

ANN

Authorized Official Title or Position:

REVENUE CYCLE METRICS ANALYST

Authorized Official Telephone Number:

206-598-4446

• Taxonomy code: 3336L0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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• Identifier: 7627225 , 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: 7407794 , 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: 9637653 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
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• Identifier: 7600331 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
• Identifier: 7111651 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".