INTERNATIONAL COMMUNITY HEALTH SERVICES (NPI# 1275951295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275951295 |
| Entity Type | Organization |
| Organization Name | INTERNATIONAL COMMUNITY HEALTH SERVICES |
| Other Organization Name | ICHS SHORELINE MEDICAL AND DENTAL CLINIC |
| Practice Address |
16549 Aurora Ave N Shoreline WA 98133-5308 |
| Mailing Address |
Po Box 3007 Seattle WA 98114-3007 |
| Practice Telephone | 2065332600 |
| Practice Fax Number | 2065332641 |
| Mailing Telephone | 2067883700 |
| Mailing Fax Number | 2067883706 |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2014-06-26 |
| Authorized Official Name | PEGGY PHUNG (SENIOR BILLING/CODING ADMINISTRATOR) |
| Authorized Official Telephone | 2007883605 |
| Is Organization Subpart | Y |
| Parent Organization Name | 600436519 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
600436519 | WA | Dental Providers |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
600436519 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ICHS Shoreline Medical and Dental Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376083741 | International Community Health Services | Optometrist | 718 8th Ave S, Seattle, WA 98104-3006 | 2017-03-03 |
| 1871110452 | International Community Health Services | Case Management | 720 8th Ave S, Seattle, WA 98104-3032 | 2020-06-30 |
| 1194223412 | International Community Health Services | Meals | 803 S Lane St, Seattle, WA 98104-3044 | 2018-02-01 |
| 1801299227 | International Community Health Services | Dentist | 16549 Aurora Ave N, Shoreline, WA 98133-5308 | 2014-09-30 |
| 1356757389 | International Community Health Services | Clinic/Center | 3639 Martin Luther King Jr Way S, Seattle, WA 98144-6847 | 2014-07-10 |
| 1992124747 | International Community Health Services | Family Medicine | 16549 Aurora Ave N, Shoreline, WA 98133-5308 | 2014-04-09 |
| 1003252636 | International Community Health Services | Dentist | 1050 140th Ave Ne, Bellevue, WA 98005-2972 | 2013-05-22 |
| 1114363157 | International Community Health Services | Family Medicine | 1050 140th Ave Ne, Bellevue, WA 98005-2972 | 2013-05-17 |
| 1538351085 | International Community Health Services | Psychologist | 3815 S Othello St, 2nd Fl., Seattle, WA 98118-3510 | 2007-08-17 |
| 1679765259 | International Community Health Services | Psychologist | 720 8th Ave S, Suite 100, Seattle, WA 98104-3032 | 2007-08-16 |
| Street Address |
16549 AURORA AVE N |
| City | SHORELINE |
| State | WA |
| Zip Code | 98133-5308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679760672 | Joanne S Lam | Social Worker | 16549 Aurora Ave N, Shoreline, WA 98133-5308 | 2007-10-03 |
| 1194348151 | Melinda Pearl Greensweig | Registered Nurse | 16549 Aurora Ave N, Shoreline, WA 98133-5308 | 2020-05-26 |
| 1215563549 | Lisa Johnson | Dental Hygienist | 16549 Aurora Ave N, Shoreline, WA 98133-5308 | 2020-03-18 |
| 1508490681 | Emily Peterson Biddulph | Registered Nurse | 16549 Aurora Ave N, Shoreline, WA 98133-5308 | 2020-02-27 |
| 1154954600 | Nicole Bayard | Registered Nurse | 16549 Aurora Ave N, Shoreline, WA 98133-5308 | 2020-02-12 |
| 1306309505 | Insun Choi | Student in an Organized Health Care Education/Training Program | 16549 Aurora Ave N, Shoreline, WA 98133-5308 | 2019-04-13 |
| 1679032676 | Farah Karim | Student in an Organized Health Care Education/Training Program | 16549 Aurora Ave N, Shoreline, WA 98133-5308 | 2019-03-19 |
| 1730655358 | Maryknoll P Hunter | Dental Hygienist | 16549 Aurora Ave N, Shoreline, WA 98133-5308 | 2018-10-22 |
| 1659862043 | Erin Christine Olanrewaju | Nurse Practitioner | 16549 Aurora Ave N, Shoreline, WA 98133-5308 | 2018-05-22 |
| 1154824100 | Penelope Phuong Minh Ruoff | Dentist | 16549 Aurora Ave N, Shoreline, WA 98133-5308 | 2018-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339388 | Marni Lynn Hanig | Occupational Therapist | 1900 N 170th St., Shoreline, WA 98133 | 2019-10-29 |
| 1871074807 | Minju Kim | Counselor | 14332 Burke Ave N, Seattle, WA 98133 | 2018-08-27 |
| 1821582941 | Hana Alema Misgina | Registered Nurse | 927 N 199th St, Shoreline, WA 98133 | 2018-06-21 |
| 1588177729 | Julie Benefiel | Pharmacist | 1536 N 115th St. Suite 100, Seattle, WA 98133 | 2017-11-09 |
| 1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
| 1750801072 | Zoe Ana Cavnar-lewandowski | Counselor | 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 | 2017-06-27 |
| 1851820211 | Adam Lee Gardner Sr. | Acupuncturist | 925 N 163rd Street, Unit B, Shoreline, WA 98133 | 2017-06-08 |
| 1376085209 | Pamela Ashby | Counselor | 2111 N. Northgateway, 212, Seattle, WA 98133 | 2016-11-09 |
| 1225584956 | General Dentistry | Dentist | 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 | 2016-09-01 |
| 1144672668 | Aaron Neubauer | Behavioral Analyst | 13407 Greenwood Ave N, 216c, Seattle, WA 98133 | 2016-07-08 |
| Find all providers in zip 98133 | ||||
| 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 |
|---|---|---|---|---|
| 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.