AMERIGROUP WASHINGTON, INC. (NPI# 1699040857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699040857 |
| Entity Type | Organization |
| Organization Name | AMERIGROUP WASHINGTON, INC. |
| Practice Address |
705 5th Avenue South Suite 300 Seattle WA 98104 |
| Practice Telephone | 2066744462 |
| Mailing Telephone | 2066744462 |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2016-12-07 |
| Authorized Official Name | MR. DARYL EDMONDS (PRESIDENT) |
| Authorized Official Telephone | 2066744462 |
| Is Organization Subpart | Y |
| Parent Organization Name | AMERIGROUP CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | 500653 | WA | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 603047676 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | AMERIGROUP WASHINGTON, INC. | 4425 Corporation Ln, Virginia Beach, VA 23462 |
| Ohio Business Entities | AMERIGROUP WASHINGTON, INC. | 705 5th Avenue South - #100, Seattle, WA 98104 |
| Street Address |
705 5TH AVENUE SOUTH SUITE 300 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
| 1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
| 1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
| 1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
| 1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
| 1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
| 1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
| 1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
| 1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
| 1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
| Find all providers in zip 98104 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "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. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659737245 | Paul F. Genung D.d.s. Inc. | Health Maintenance Organization | 1904 3rd Ave Ste 1031, Seattle, WA 98101-1199 | 2016-01-12 |
| 1407233166 | Accusmile Denture and Dental Inc | Health Maintenance Organization | 7352 15th Ave Nw, Seattle, WA 98117-5401 | 2015-05-01 |
| 1730513805 | Community Health Plan of Washington | Health Maintenance Organization | 1111 3rd Ave Ste 400, Seattle, WA 98101-3207 | 2013-08-26 |
| 1912257759 | Optum Medical Services | Health Maintenance Organization | 901 5th Ave Ste 1500, Seattle, WA 98164-2013 | 2012-09-19 |
| 1598065419 | Providence Health and Services | Health Maintenance Organization | 2001 Lind Avenue Sw, Suite 240, Seattle, WA 98124-1439 | 2010-10-26 |
| 1548413594 | Glenn Thomas Goleeke | Health Maintenance Organization | 3161 Elliott Ave Ste 102, Seattle, WA 98121-1016 | 2008-11-03 |
| 1972689016 | King County Correctional Facility | Health Maintenance Organization | 500 James St, Seattle, WA 98105-4225 | 2006-10-31 |
| 1770979783 | Conscious Choice Chiropractic | Health Maintenance Organization | 6415 Fauntleroy Way Sw, Seattle, WA 98136-1871 | 2015-04-07 |
| 1568800167 | Amour De Soi Wellness and Spa, Pllc | Health Maintenance Organization | 1836 Westlake Ave N, Suite 106, Seattle, WA 98109-2755 | 2013-06-06 |
| 1316244999 | Asian Counseling & Referral Service | Health Maintenance Organization | 3639 Martin Luther King Jr Way S, Seattle, WA 98144-6847 | 2011-02-17 |
| 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.