1992124747 NPI number — INTERNATIONAL COMMUNITY HEALTH SERVICES

Table of content: (NPI 1992124747)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992124747 NPI number — INTERNATIONAL COMMUNITY HEALTH SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INTERNATIONAL COMMUNITY 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:
ICHS SHORELINE MEDICAL AND DENTAL CLINIC
Provider Other Organization Name Type Code:
5
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:
1992124747
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/29/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 3007
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:
98114-3007
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-788-3700
Provider Business Mailing Address Fax Number:
206-788-3706

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16549 AURORA AVE N
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHORELINE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98133-5308
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-533-2600
Provider Business Practice Location Address Fax Number:
206-533-2641
Provider Enumeration Date:
04/09/2014

Additional Information

Authorized Official

Authorized Official Last Name:
SHAHBAZIAN
Authorized Official First Name:
HERMES
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
206-788-3606

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QF0400X , with the licence number: 600436519 , 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)





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