CHS WASHINGTON STATE MEDICAL, P.C.


Address: 651 N 34th St, Seattle, WA 98103-8846
Phone: 6502146369

CHS WASHINGTON STATE MEDICAL, P.C. (NPI# 1053698084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053698084
Entity Type Organization
Organization Name CHS WASHINGTON STATE MEDICAL, P.C.
Other Organization Name GOOGLE WELLNESS CENTER
Practice Address 651 N 34th St
Seattle
WA 98103-8846
Mailing Address 5500 Maryland Way
Suite 400
Brentwood
TN 37027-4948
Practice Telephone 6502146369
Enumeration Date 2011-11-04
Last Update Date 2016-07-07
Authorized Official Name STUART CLARK (EXECUTIVE VP)
Authorized Official Telephone 7037600700
Is Organization Subpart Y
Parent Organization Name CHS HEALTH SERVICES

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Google Wellness Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1528345550 Chs Washington State Medical, P.C. General Practice 747 6th St S, Kirkland, WA 98033-6715 2011-11-04

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations CHS WASHINGTON STATE MEDICAL, P.C. 5500 Maryland Way Ste 120, Brentwood, TN 37027-4993

Office Location

Street Address 651 N 34TH ST
City SEATTLE
State WA
Zip Code 98103-8846

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740635887 Peter Chulhi Kang General Practice 1425 Spring St Apt 802, Seattle, WA 98104-1635 2016-04-26
1295114395 Kavita Pandit General Practice U Washington Dept of Surgery 1959 Ne Pacific St, Box 356410, Seattle, WA 98195-6410 2015-05-21
1124438015 Lauren Scovel General Practice 1321 Minor Ave Apt B602, Seattle, WA 98101-2884 2014-05-01
1023355427 Johanna H Vanbelle General Practice 2150 N 122nd St, Seattle, WA 98133-8524 2013-01-07
1144567587 Eric O. Feigl General Practice Physiology 357290 Health Sci Bldg G424, University of Washington, Seattle, WA 98195-7290 2013-01-04
1790031573 David Hagin General Practice 850 Republican St, Brotman 254, Seattle, WA 98109-4725 2012-07-30
1003134941 Leandro Pasos General Practice 12707 30th Ave Ne, Seattle, WA 98125-4403 2010-05-15
1336463959 Anthony Norman General Practice 12333 28th Ave Ne, #a, Seattle, WA 98125-5464 2010-03-25
1114102118 Jeffrey Alan Robertson General Practice 1800 9th Ave # 1606, Seattle, WA 98101-1358 2008-01-08
1568520856 Anne Alexandra Lawrence General Practice 6801 28th Ave Ne, Seattle, WA 98115-7144 2006-12-05
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Competitor

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City SEATTLE
Zip Code 98103

Improve Information

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Dataset Information

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.

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