COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY (NPI# 1013049741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013049741 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY |
| Other Organization Name | COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY LYNNWOOD |
| Practice Address |
4111 194th St Sw Ste 100 Lynnwood WA 98036-4604 |
| Mailing Address |
Po Box 13060 Everett WA 98206-3060 |
| Practice Telephone | 4258355200 |
| Practice Fax Number | 4258355201 |
| Mailing Telephone | 4257893700 |
| Mailing Fax Number | 4257893750 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2010-09-22 |
| Authorized Official Name | MR. KENNETH M GREEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4257893700 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 7034036 | WA | Allopathic & Osteopathic Physicians |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
7034036 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WORKMAN COMPENSATION | 32770 | 01 |
| WA | CRIME VICTIM COMPENSATION | 8934243 | 01 |
| WA | 7034036 | 05 |
| Other Name | Type Code |
|---|---|
| Community Health Center of Snohomish County Lynnwood | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447678875 | Community Health Center of Snohomish County | Pharmacy | 23300 Highway 99, Edmonds, WA 98026-8744 | 2014-04-02 |
| 1730136367 | Community Health Center of Snohomish County | Family Medicine | 8609 Evergreen Way, Everett, WA 98208-2619 | 2006-05-28 |
| 1437675188 | Community Health Center of Snohomish County | Clinic/Center | 930 N Broadway, Everett, WA 98201-1409 | 2017-08-15 |
| 1548786296 | Community Health Center of Snohomish County | Clinic/Center | 4201 Rucker Ave, Everett, WA 98203-2237 | 2017-08-15 |
| 1699102129 | Community Health Center of Snohomish County | Clinic/Center | 1424 Broadway, Everett, WA 98201-1720 | 2013-09-30 |
| 1821420589 | Community Health Center of Snohomish County | Pharmacy | 326 S Stillaguamish Ave, Arlington, WA 98223-1652 | 2013-08-05 |
| 1649602756 | Community Health Center of Snohomish County | Clinic/Center | 326 S Stillaguamish Ave, Arlington, WA 98223-1652 | 2013-07-31 |
| 1437438058 | Community Health Center of Snohomish County | Clinic/Center | 21701 76th Ave W, Suite 300, Edmonds, WA 98026-7536 | 2011-08-12 |
| 1073720108 | Community Health Center of Snohomish County | Family Medicine | 5929 Evergreen Way, Everett, WA 98203-6031 | 2007-05-17 |
| 1932231669 | Community Health Center of Snohomish County | Family Medicine | 1424 Broadway, Everett, WA 98201-1720 | 2007-03-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY | 8609 Evergreen Way, Everett, WA 98208-2619 |
| Washington State Corporations | COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY | 8609 Evergreen Way, Everett, WA 98208-2619 |
| Street Address |
4111 194TH ST SW STE 100 |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98036-4604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
| 1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
| 1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
| 1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
| Find all providers in zip 98036 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932648532 | Sea-mar Community Health Center | Clinic/Center | 4111 Alderwood Mall Blvd, Lynnwood, WA 98036-6765 | 2017-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447869342 | Unity Care Northwest | Clinic/Center | 6046 Portal Way Ste 202, Ferndale, WA 98248-7829 | 2020-07-27 |
| 1881219426 | Healthpoint | Clinic/Center | 2902 Ne 12th St Ste 102, Renton, WA 98056-3126 | 2020-06-09 |
| 1235778812 | Seattle Indian Health Board | Clinic/Center | 410 2nd Avenue Ext S, Seattle, WA 98104-2876 | 2019-12-31 |
| 1376185694 | Neighborcare Health | Clinic/Center | 2709 3rd Ave, Seattle, WA 98121-1217 | 2019-10-09 |
| 1295383958 | King County Finance | Clinic/Center | 908 Jefferson St Fl 11, Seattle, WA 98104-2433 | 2019-08-27 |
| 1063069839 | Sea-mar Community Health Center | Clinic/Center | 6004 Capitol Boulevard Southwest, Tumwater, WA 98501-8520 | 2019-08-26 |
| 1194379354 | Yakima Neighborhood Health Services | Clinic/Center | 201 S 6th St, Yakima, WA 98901-2928 | 2019-07-26 |
| 1881254449 | Neighborcare Health | Clinic/Center | 7101 62nd Ave Ne Ste 4, Seattle, WA 98115-7168 | 2019-06-17 |
| 1578028866 | Neighborcare Health | Clinic/Center | 2119 3rd Ave, Seattle, WA 98121-2333 | 2019-01-31 |
| 1144703885 | Healthpoint | Clinic/Center | 219 State Ave N, Ste 100, Kent, WA 98030 | 2018-09-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.