COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY (NPI# 1699102129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699102129 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY |
| Practice Address |
1424 Broadway Everett WA 98201-1720 |
| Mailing Address |
6557 11th Ave Nw Seattle WA 98117-5212 |
| Practice Telephone | 4257892000 |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-09-30 |
| Authorized Official Name | ROBERT FARRELL (CEO) |
| Authorized Official Telephone | 4257893700 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| 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 |
| 1548786296 | Community Health Center of Snohomish County | Clinic/Center | 4201 Rucker Ave, Everett, WA 98203-2237 | 2017-08-15 |
| 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 |
1424 BROADWAY |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497370001 | Jacob Christopher Memmott | Nurse Practitioner | 1424 Broadway, Everett, WA 98201-1720 | 2020-06-09 |
| 1386154359 | Pallavi Golani | Dentist | 1424 Broadway, Everett, WA 98201-1720 | 2017-10-04 |
| 1457870701 | Maria Esquivel | Dental Hygienist | 1424 Broadway, Everett, WA 98201-1720 | 2017-09-18 |
| 1497107122 | Andrew Kokesh | Nurse Practitioner | 1424 Broadway, Everett, WA 98201-1720 | 2016-07-06 |
| 1346623188 | Aimi Mizutani | Dentist | 1424 Broadway, Everett, WA 98201-1720 | 2015-06-29 |
| 1902284490 | Quan Nguyen | Pharmacist | 1424 Broadway, Everett, WA 98201-1720 | 2015-05-15 |
| 1154715068 | Ashlin Mountjoy | Family Medicine | 1424 Broadway, Everett, WA 98201 | 2015-03-28 |
| 1366861494 | Rachel Skalina | Pediatrics | 1424 Broadway, Everett, WA 98201-1720 | 2014-04-16 |
| 1376972711 | Simi Kohli | Family Medicine | 1424 Broadway, Everett, WA 98201-1720 | 2013-11-06 |
| 1346678737 | Joel Puryear | Physician Assistant | 1424 Broadway, Everett, WA 98201-1720 | 2013-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| 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 |
| 1548786296 | Community Health Center of Snohomish County | Clinic/Center | 4201 Rucker Ave, Everett, WA 98203-2237 | 2017-08-15 |
| 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 | ||||
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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.