HAGEN CHIROPRACTIC CLINIC (NPI# 1326346909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326346909 |
| Entity Type | Organization |
| Organization Name | HAGEN CHIROPRACTIC CLINIC |
| Practice Address |
19713 Scriber Lake Rd Ste G Lynnwood WA 98036-6162 |
| Practice Telephone | 4256721822 |
| Practice Fax Number | 4257440996 |
| Mailing Telephone | 4256721822 |
| Mailing Fax Number | 4257440996 |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2011-03-07 |
| Authorized Official Name | DR. SHAWN D HAGEN (OWNER) |
| Authorized Official Telephone | 4256721822 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | CH00001795 | WA | Managed Care Organizations |
| Street Address |
19713 SCRIBER LAKE RD STE G |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98036-6162 |
| 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 | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073060729 | Community Health Acupuncture and Wellness Center | Preferred Provider Organization | 5108 196th St Sw Ste 208, Lynnwood, WA 98036-6152 | 2016-09-09 |
| 1992063945 | Randall Inc. | Preferred Provider Organization | 19721 Scriber Lake Rd, #d, Lynnwood, WA 98036 | 2012-04-27 |
| 1164686101 | Care Physical Therapy, Inc. | Preferred Provider Organization | 16911 Hwy 99, Suite 105, Lynnwood, WA 98037-3104 | 2008-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225529407 | Mitchell International, Inc. | Preferred Provider Organization | 1301 5th Ave Ste 2900, Seattle, WA 98101-2644 | 2018-05-23 |
| 1629517388 | Shera Looney | Preferred Provider Organization | 500 5th Ave W, 502, Seattle, WA 98119-3957 | 2017-02-14 |
| 1538615158 | J.r. Craig Webster D.d.s. | Preferred Provider Organization | 204 West 1st. Street, Omak, WA 98841 | 2016-09-01 |
| 1306390109 | Sabrina Mandich, Dds, LLC | Preferred Provider Organization | 207 Sw 156th St Ste 1, Burien, WA 98166-2561 | 2016-08-09 |
| 1083168272 | Marnie L. Collins Dds | Preferred Provider Organization | 507 N Sullivan Rd Ste 2, Spokane Valley, WA 99037-8576 | 2016-08-05 |
| 1720431414 | David J Olson Dds Pllc | Preferred Provider Organization | 509 Olive Way Ste 1238, Seattle, WA 98101-1745 | 2016-07-18 |
| 1932558780 | Cheng Im Shao Chue Gomez Pllc | Preferred Provider Organization | 22035 Se Wax Rd, Ste 5, Maple Valley, WA 98038-8543 | 2016-06-11 |
| 1659741858 | Canyon Crossing Chiropractic Ps | Preferred Provider Organization | 5610 176th St E, D105, Puyallup, WA 98375-9305 | 2015-09-30 |
| 1336519982 | Dr. James Hood | Preferred Provider Organization | 2510 N Pines Rd Ste 206, Spokane Valley, WA 99206-7636 | 2015-09-25 |
| 1134504145 | Body Kneads Massage Therapy | Preferred Provider Organization | 445 Cedar Blvd., Suite C, Othello, WA 99344 | 2015-07-21 |
| 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.