INTERNATIONAL COMMUNITY HEALTH SERVICES (NPI# 1538351085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538351085 |
| Entity Type | Organization |
| Organization Name | INTERNATIONAL COMMUNITY HEALTH SERVICES |
| Other Organization Name | HOLLY PARK MEICAL AND DENTAL CLINIC |
| Practice Address |
3815 S Othello St 2nd Fl. Seattle WA 98118-3510 |
| Mailing Address |
Po Box 3007 Seattle WA 98114-3007 |
| Practice Telephone | 2067883500 |
| Practice Fax Number | 2067883521 |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2007-08-17 |
| Authorized Official Name | PEGGY PHUNG (ASSISTANT FINANCE MANAGER) |
| Authorized Official Telephone | 2067883605 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7137854 | 05 |
| Other Name | Type Code |
|---|---|
| Holly Park Meical 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 |
| 1275951295 | International Community Health Services | Dentist | 16549 Aurora Ave N, Shoreline, WA 98133-5308 | 2014-04-07 |
| 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 |
| 1679765259 | International Community Health Services | Psychologist | 720 8th Ave S, Suite 100, Seattle, WA 98104-3032 | 2007-08-16 |
| Street Address |
3815 S OTHELLO ST 2ND FL. |
| City | SEATTLE |
| State | WA |
| Zip Code | 98118-3510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134168768 | Anthony Lung-tung Chen | Family Medicine | 3815 S Othello St, 2nd Floor, Seattle, WA 98118-3510 | 2006-06-06 |
| 1588287676 | Meghana Bachu | Student in an Organized Health Care Education/Training Program | 3815 S Othello St, Seattle, WA 98118-3510 | 2020-05-22 |
| 1154943769 | Megan Perara | Registered Nurse | 3815 S Othello St, Seattle, WA 98118-3510 | 2020-05-18 |
| 1073135661 | Azeb Zeleke | Registered Nurse | 3815 S Othello St, Seattle, WA 98118-3510 | 2020-05-18 |
| 1013541903 | Jessica To | Registered Nurse | 3815 S Othello St, Seattle, WA 98118-3510 | 2020-02-28 |
| 1871123919 | Natalie Phu | Dental Hygienist | 3815 S Othello St, Seattle, WA 98118-3510 | 2020-01-16 |
| 1093350977 | Roseline Buyeka | Obstetrics & Gynecology | 3815 S Othello St, Seattle, WA 98118-3510 | 2019-11-14 |
| 1407409220 | Samantha Elizabeth Rothman | Nurse Practitioner | 3815 S Othello St, Seattle, WA 98118-3510 | 2019-07-21 |
| 1235790700 | Marianne Rose Ko Unite | Nurse Practitioner | 3815 S Othello St, Seattle, WA 98118-3510 | 2019-06-25 |
| 1487126173 | Shilpa Kataria | Nurse Practitioner | 3815 S Othello St, Seattle, WA 98118-3510 | 2018-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102812 | Psjh Pllc | Pharmacy | 3828 S Graham St Unit B, Seattle, WA 98118 | 2019-03-04 |
| 1912463670 | Hillman City Medical Pllc | Family Medicine | 3828 S Graham St Suite A, Seattle, WA 98118 | 2019-02-18 |
| 1992287650 | Valentina Komarova | Massage Therapist | 4321 S Webster St Unit D, Seattle, WA 98118 | 2018-08-29 |
| 1750884672 | Ka Hei Cheuk | Behavior Technician | 3815 S Othello Street, Suite 100 Box 361, Seattle, WA 98118 | 2018-03-16 |
| 1285150904 | Crystal N White | Counselor | 3815 S Othello St Suite 100 #317, Seattle, WA 98118 | 2017-08-15 |
| 1346775327 | Anya Lisha Andre | Student in an Organized Health Care Education/Training Program | 9245 Rainier Avenue South, Seattle, WA 98118 | 2017-04-27 |
| 1710334552 | Emeka Titus Okoye | Durable Medical Equipment & Medical Supplies | 4529 S. Henderson Street, #7, Seattle, WA 98118 | 2016-05-23 |
| 1104202191 | Elizabeth Kittay | Acupuncturist | 5224 Wilson Avenue South, Suite 202, Seattle, WA 98118 | 2015-08-03 |
| 1194129601 | Heather Vargas-lyon | Massage Therapist | 8338 Wolcott Ave S, Seattle, WA 98118 | 2014-10-13 |
| 1487069878 | Tamikia Jones | Massage Therapist | 9260 57th Ave S, Seattle, WA 98118 | 2014-06-25 |
| Find all providers in zip 98118 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841442 | Jeanette Lee Chong | Psychologist | 2112 3rd Ave N Unit C, Seattle, WA 98109-2304 | 2020-11-04 |
| 1295355923 | Douglas M Wear | Psychologist | 5802 16th Ave Ne, Seattle, WA 98105-2517 | 2020-04-22 |
| 1659910057 | Caitlin Stanaway | Psychologist | 7615 S 134th St, Seattle, WA 98178-5112 | 2020-01-02 |
| 1407495211 | Ellen A. Begley, Ph.d. Pllc | Psychologist | 3417 Fremont Ave N Ste 316, Seattle, WA 98103-3411 | 2019-12-26 |
| 1649735580 | Jennifer Savion | Psychologist | 2800 E Madison St Ste 306, Seattle, WA 98112-4865 | 2019-02-05 |
| 1073084935 | Ann Marie Roepke | Psychologist | 4741 Rainier Ave S, Seattle, WA 98118-1657 | 2018-12-17 |
| 1801399431 | Jessica Lynn Peterson | Psychologist | Chdd 1701 Ne Columbia Rd Seattle Wa 98195, Seattle, WA 98195-0001 | 2018-03-09 |
| 1144676842 | Alisa Horwitz | Psychologist | 2855 31st Ave W, Seattle, WA 98199-2722 | 2016-05-11 |
| 1982065611 | Sara Eagan | Psychologist | 2470 Westlake Ave N Ste 102, Seattle, WA 98109 | 2016-03-08 |
| 1679933899 | Yu Ding | Psychologist | 330 3rd Ave W, 520, Seattle, WA 98119-4180 | 2016-03-01 |
| Find all providers in SEATTLE | ||||
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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.