CHILDHAVEN - LAKE CITY (NPI# 1457474090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457474090 |
Entity Type | Organization |
Organization Name | CHILDHAVEN - LAKE CITY |
Practice Address |
2350 Ne 95th St Seattle WA 98115-2433 |
Mailing Address |
316 Broadway Seattle WA 98122-5325 |
Practice Telephone | 2067884140 |
Practice Fax Number | 2067884159 |
Mailing Telephone | 2066246477 |
Mailing Fax Number | 2063823303 |
Enumeration Date | 2007-04-09 |
Last Update Date | 2020-08-22 |
Authorized Official Name | VICKI NINO OSBY (ASSOCIATE DIRECTOR) |
Authorized Official Telephone | 2065974804 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
100653 | WA | Ambulatory Health Care Facilities |
Street Address |
2350 NE 95TH ST |
City | SEATTLE |
State | WA |
Zip Code | 98115-2433 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366079972 | Aaron Hui | Oral & Maxillofacial Surgery | 6222 Ne 74th Street Building 25, 2nd Floor, Seattle, WA 98115 | 2020-03-24 |
1396387346 | Catherine Erickson | Social Worker | 6527 - 21st Ave Ne, Suite 4, Seattle, WA 98115 | 2019-10-10 |
1275003857 | Margaret Ellen Haber | Social Worker | 2400 Ne 95th Street, Seattle, WA 98115 | 2018-11-27 |
1528584513 | Katharine Huntington Poinier | Registered Nurse | 8521 5th Avenue Ne, Seattle, WA 98115 | 2017-08-21 |
1750802229 | Cody David Pollock | Student in an Organized Health Care Education/Training Program | 1959 Northeast Pacific Street, Box 357115 University of Washington Medical Center, Seattle, WA 98115 | 2017-07-05 |
1144759416 | Amber Padron | Behavior Technician | 6537 Oswego Place Ne, Apt 8, Seattle, WA 98115 | 2017-06-08 |
1639603509 | Matthew Vanwinkle | Physical Therapist | 3290 Ne 65th Street, Unit 101, Seattle, WA 98115 | 2017-04-17 |
1538607650 | Karen Van Vuren | Registered Nurse | 204 Ne 94h St, Seattle, WA 98115 | 2017-02-09 |
1992251599 | Anders Kobbevik | Massage Therapist | 1200 Ne 65th Street, Seattle, WA 98115 | 2016-09-01 |
1295288181 | Brandon Marsicek | Counselor | 419 Ne 71st St Apt 407, Seattle, WA 98115 | 2016-07-27 |
Find all providers in zip 98115 |
Taxonomy Code | 261QS1000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Student Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912242769 | Whitman Middle School | Clinic/Center | 9201 15th Ave Nw, Seattle, WA 98117-2336 | 2012-12-05 |
1245353887 | Childhaven - Creekmore Branch | Clinic/Center | 1035 Sw 124th St, Seattle, WA 98146-2746 | 2007-04-09 |
1346464294 | Childhaven - Broadway Branch | Clinic/Center | 316 Broadway, Seattle, WA 98122-5325 | 2007-04-12 |
1841322252 | Seattle Children's Hospital | Clinic/Center | 2101 E Yesler Way, Suite 100, Seattle, WA 98122-5959 | 2007-03-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114241478 | Pacific Lutheran University | Clinic/Center | 12108 S Park Ave, Tacoma, WA 98447-0001 | 2010-03-16 |
1720313026 | Student Health Options | Clinic/Center | 534 S 3rd Ave, Suite 16, Walla Walla, WA 99362-3177 | 2009-10-05 |
1114040755 | Childhaven - Gogerty Branch | Clinic/Center | 1345 22nd St Ne, Auburn, WA 98002-3442 | 2007-04-09 |
1770557290 | University of Puget Sound | Clinic/Center | 1500 N Warner St, Cmb 1035, Tacoma, WA 98416-5000 | 2006-02-13 |
1629048848 | Wwu Campus Health & Wellness | Clinic/Center | 133 S College Ave, Suite 101, College Place, WA 99324-1193 | 2006-01-23 |
1114195898 | The Evergreen State College | Clinic/Center | 2700 Evergreen Pkwy Nw, Seminar 1 2110, Olympia, WA 98505-0005 | 2008-02-14 |
1326262452 | Western Washington University Student Health Center | Clinic/Center | 516 High St, Ms 9132, Bellingham, WA 98225-5946 | 2007-04-12 |
Please comment or provide details below to improve the information on CHILDHAVEN - LAKE CITY.
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.