COUNTRY DOCTOR COMMUNITY CLINIC (NPI# 1902027253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902027253 |
| Entity Type | Organization |
| Organization Name | COUNTRY DOCTOR COMMUNITY CLINIC |
| Other Organization Name | CAROLYN DOWNS FAMILY MEDICAL CENTER PHARMACY |
| Practice Address |
2101 E Yesler Way Suite 150 Seattle WA 98122-5959 |
| Mailing Address |
2101 E Yesler Way Suite 210 Seattle WA 98122-5959 |
| Practice Telephone | 2062991900 |
| Practice Fax Number | 2062991920 |
| Mailing Telephone | 2062991970 |
| Mailing Fax Number | 2062991920 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2016-09-29 |
| Authorized Official Name | SHONNIE NOMA (QUALITY IMPROVMENT MANAGER) |
| Authorized Official Telephone | 2062991984 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | PHARMACY | 6014948 | 01 |
| Other Name | Type Code |
|---|---|
| Carolyn Downs Family Medical Center Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114540457 | Country Doctor Community Clinic | Family Medicine | 2410 E Cherry St, Seattle, WA 98122-4832 | 2020-05-21 |
| 1891343075 | Country Doctor Community Clinic | Clinic/Center | 1621 S Jackson St Ste 201, Seattle, WA 98144-2277 | 2019-08-30 |
| 1972623189 | Country Doctor Community Clinic | Case Management | 2101 E Yesler Way Ste 210, Seattle, WA 98122-5959 | 2007-03-30 |
| 1356999288 | Country Doctor Community Clinic | Clinic/Center | 301 21st Ave E, Seattle, WA 98112-5318 | 2019-09-04 |
| 1952883993 | Country Doctor Community Clinic | Clinic/Center | 510 19th Ave E, Seattle, WA 98112-4007 | 2018-09-06 |
| 1497189773 | Country Doctor Community Clinic | Clinic/Center | 550 16th Ave, Suite 100, Seattle, WA 98122-5699 | 2013-08-22 |
| 1881885549 | Country Doctor Community Clinic | Case Manager/Care Coordinator | 2101 E Yesler Way, Suite 150, Seattle, WA 98122-5959 | 2007-08-07 |
| 1316138696 | Country Doctor Community Clinic | Case Manager/Care Coordinator | 500 19th Ave E, Seattle, WA 98112-4007 | 2007-08-05 |
| 1952592230 | Country Doctor Community Clinic | Clinic/Center | 500 19th Ave E, Seattle, WA 98112-4007 | 2007-08-05 |
| 1164642278 | Country Doctor Community Clinic | Family Medicine | 2101 E Yesler Way, Suite 150, Seattle, WA 98122-5959 | 2007-04-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | COUNTRY DOCTOR COMMUNITY CLINIC | 500 19th Ave E, Seattle, WA 98112-4007 |
| Street Address |
2101 E YESLER WAY SUITE 150 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122-5959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447220439 | Sarah Ellen Lesko | Family Medicine | 2101 E Yesler Way, Suite 150, Seattle, WA 98122-5959 | 2006-01-24 |
| 1861927642 | Monica Lake | Counselor | 2101 E Yesler Way, Suite 150, Seattle, WA 98122-5959 | 2017-04-28 |
| 1770039745 | Irina A. Roganova | Dental Hygienist | 2101 E Yesler Way, Seattle, WA 98122-5959 | 2016-08-30 |
| 1437519246 | Paul Barry | Counselor | 2101 E Yesler Way, Suite 210, Seattle, WA 98122-5959 | 2016-03-07 |
| 1801267273 | Susanne Wieand | Registered Nurse | 2101 E Yesler Way, Seattle, WA 98122-5959 | 2015-10-12 |
| 1912386129 | Erin Leinn | Counselor | 2101 E Yesler Way, Seattle, WA 98122 | 2015-05-20 |
| 1023413499 | Stacey Haynes | Psychologist | 2101 E Yesler Way, Seattle, WA 98122-5959 | 2014-10-28 |
| 1902211576 | Amanda Beth Patterson | Dentist | 2101 E Yesler Way, Seattle, WA 98122-5959 | 2014-06-23 |
| 1962812032 | Teresa M. Resch | Dental Hygienist | 2101 E Yesler Way, Seattle, WA 98122-5959 | 2014-04-29 |
| 1528403755 | Rebecca Finkel | Dietitian, Registered | 2101 E Yesler Way, Seattle, WA 98122-5959 | 2013-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
| 1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
| 1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| Find all providers in zip 98122 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678240 | Washington Institute for Coagulation | Pharmacy | 921 Terry Ave Ste A, Seattle, WA 98104-1239 | 2019-06-19 |
| 1982025128 | Seattle Cancer Care Alliance | Pharmacy | 1560 N 115th St Ste G-16a, Seattle, WA 98133-8414 | 2013-12-13 |
| 1235263245 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1420 5th Ave., Suite 375, Seattle, WA 98101 | 2007-03-15 |
| 1639237142 | Sea Mar Community Health Center | Pharmacy | 8800 14th Ave S, Seattle, WA 98108-4864 | 2006-12-05 |
| 1235777616 | Harborview Medical Center | Pharmacy | 206 3rd Ave S, Seattle, WA 98104-2697 | 2019-12-16 |
| 1154712636 | Harborview Medical Center | Pharmacy | 325 9th Ave, 1st West Clinic, Seattle, WA 98104-2420 | 2015-02-05 |
| 1639390982 | Country Doctor Community Health Centers | Pharmacy | 500 19th Ave E, Seattle, WA 98112-4007 | 2007-05-02 |
| 1629102470 | Kaiser Foundation Health Plan of Washington | Pharmacy | 201 16th Ave E, Seattle, WA 98112-5226 | 2007-03-15 |
| 1376677120 | Kaiser Foundation Health Plan of Washington | Pharmacy | 125 16th Ave E, Seattle, WA 98112-5211 | 2007-03-15 |
| 1508990201 | Kaiser Foundation Health Plan of Washington | Pharmacy | 5316 Rainier Ave S, Seattle, WA 98118-2398 | 2007-03-15 |
| 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.