COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY (NPI# 1548786296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548786296 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY |
| Practice Address |
4201 Rucker Ave Everett WA 98203-2237 |
| Mailing Address |
8609 Evergreen Way Everett WA 98208-2619 |
| Practice Telephone | 4257893700 |
| Mailing Telephone | 4257893700 |
| Mailing Fax Number | 4257893754 |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2017-08-15 |
| Authorized Official Name | MR. ROBERT C FARRELL (CEO) |
| Authorized Official Telephone | 4257893716 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1017523 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447678875 | Community Health Center of Snohomish County | Pharmacy | 23300 Highway 99, Edmonds, WA 98026-8744 | 2014-04-02 |
| 1013049741 | Community Health Center of Snohomish County | Family Medicine | 4111 194th St Sw Ste 100, Lynnwood, WA 98036-4604 | 2007-03-09 |
| 1730136367 | Community Health Center of Snohomish County | Family Medicine | 8609 Evergreen Way, Everett, WA 98208-2619 | 2006-05-28 |
| 1437675188 | Community Health Center of Snohomish County | Clinic/Center | 930 N Broadway, Everett, WA 98201-1409 | 2017-08-15 |
| 1699102129 | Community Health Center of Snohomish County | Clinic/Center | 1424 Broadway, Everett, WA 98201-1720 | 2013-09-30 |
| 1821420589 | Community Health Center of Snohomish County | Pharmacy | 326 S Stillaguamish Ave, Arlington, WA 98223-1652 | 2013-08-05 |
| 1649602756 | Community Health Center of Snohomish County | Clinic/Center | 326 S Stillaguamish Ave, Arlington, WA 98223-1652 | 2013-07-31 |
| 1437438058 | Community Health Center of Snohomish County | Clinic/Center | 21701 76th Ave W, Suite 300, Edmonds, WA 98026-7536 | 2011-08-12 |
| 1073720108 | Community Health Center of Snohomish County | Family Medicine | 5929 Evergreen Way, Everett, WA 98203-6031 | 2007-05-17 |
| 1932231669 | Community Health Center of Snohomish County | Family Medicine | 1424 Broadway, Everett, WA 98201-1720 | 2007-03-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY | 8609 Evergreen Way, Everett, WA 98208-2619 |
| Washington State Corporations | COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY | 8609 Evergreen Way, Everett, WA 98208-2619 |
| Street Address |
4201 RUCKER AVE |
| City | EVERETT |
| State | WA |
| Zip Code | 98203-2237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588098909 | Lidia Yemchuk | Physician Assistant | 4201 Rucker Ave, Everett, WA 98203-2215 | 2013-08-22 |
| 1104447598 | Safa Abderrahman | Family Medicine | 4201 Rucker Ave, Everett, WA 98203-2215 | 2020-04-27 |
| 1104315167 | Quyen Tran | Registered Nurse | 4201 Rucker Ave, Everett, WA 98203-2237 | 2018-05-05 |
| 1497263438 | Kimberly Jean Fusaro Warth | Family Medicine | 4201 Rucker Ave, Everett, WA 98203-2215 | 2018-01-11 |
| 1891178521 | Gurbir Gill | Internal Medicine | 4201 Rucker Ave, Everett, WA 98203-2215 | 2015-06-30 |
| 1942682745 | Christine Marechal | Family Medicine | 4201 Rucker Ave, Everett, WA 98203-2237 | 2015-06-29 |
| 1326428723 | Baljinder Dhillon | Family Medicine | 4201 Rucker Ave, Everett, WA 98203 | 2015-06-02 |
| 1629345863 | Mary Therese Schatz | Counselor | 4201 Rucker Ave, Everett, WA 98203-2237 | 2011-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226039 | Lisa Mcgregor | Counselor | Sea Mar Community Health Centers, 5007 Claremont Way, Everett, WA 98203 | 2020-08-20 |
| 1417572009 | Megan Ostermick-durkee | Student in an Organized Health Care Education/Training Program | Sunrise Services Inc., 811 Madison Street, Everett, WA 98203 | 2020-06-10 |
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1225505241 | Reverie Aurora Shunny | Counselor | Sunrise Service Inc., 811 Madison Street, Everett, WA 98203 | 2018-10-29 |
| 1205313483 | Kristina Renee Bylenga | Counselor | Compass Health 4526 Federal Avenue M/s # 11, Everett, WA 98203 | 2018-07-20 |
| 1306384300 | Shantijoy Inc | Naturopath | 5208 S 2nd Ave, Everett, WA 98203 | 2017-02-09 |
| 1922545276 | Ekaterina Malinovska Dds Pllc | Dentist | 5920 Evergreen Way Suite E, Everett, WA 98203 | 2017-01-25 |
| 1326404104 | Job Oichoe | Counselor | 4625 Federal Ave, Everett, WA 98203 | 2016-01-08 |
| 1427423292 | Ross Lee Voorhees | Counselor | 4423 S 3rd Ave, Everett, WA 98203 | 2015-12-04 |
| 1447642376 | Adam Schneider | Counselor | 4526 Federal Ave # 40, Everett, WA 98203 | 2015-03-02 |
| Find all providers in zip 98203 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212510 | Saint Joseph Clinic | Clinic/Center | 41 W 1st St, Everett, PA 15537-1103 | 2020-07-20 |
| 1437675188 | Community Health Center of Snohomish County | Clinic/Center | 930 N Broadway, Everett, WA 98201-1409 | 2017-08-15 |
| 1699102129 | Community Health Center of Snohomish County | Clinic/Center | 1424 Broadway, Everett, WA 98201-1720 | 2013-09-30 |
| 1255645701 | Emerisse Camille Shen | Clinic/Center | 1410 Broadway, Everett, WA 98201-1720 | 2010-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375345 | Community Health Care | Clinic/Center | 15610 89th St. Ct. Kpn, Lakebay, WA 98349-9840 | 2020-10-30 |
| 1063026391 | Community Health Care | Clinic/Center | 3811 E Arlington Dr Rm 117, Tacoma, WA 98404-4613 | 2020-09-03 |
| 1093351850 | Stork Midwifery | Clinic/Center | 1523 10th St, Marysville, WA 98270-4663 | 2019-11-26 |
| 1891343075 | Country Doctor Community Clinic | Clinic/Center | 1621 S Jackson St Ste 201, Seattle, WA 98144-2277 | 2019-08-30 |
| 1497314819 | Community Health Care | Clinic/Center | 22001 38th Ave E Rm 111, Spanaway, WA 98387-6875 | 2019-06-10 |
| 1104204957 | Optimal Health and Wellness | Clinic/Center | 1267 Belmont Way, Clarkston, WA 99403 | 2015-05-13 |
| 1891030300 | Fred Meyer Pharmacy | Clinic/Center | 4505 South 19th, Tacoma, WA 98405 | 2012-12-10 |
| 1407076110 | Community Health Care | Clinic/Center | 1202 Martin Luther King Jr. Way, Tacoma, WA 98405 | 2007-04-26 |
| 1831317098 | Community Health Care | Clinic/Center | 3611 S D St, Suite 7, Tacoma, WA 98418-6813 | 2007-04-23 |
| 1194943308 | Community Health Care | Clinic/Center | 1708 East 44th St, Tacoma, WA 98404-4611 | 2007-04-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY.
| 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.