COUNTRY DOCTOR COMMUNITY CLINIC


Address: 500 19th Ave E, Seattle, WA 98112-4007
Phone: 2062991620

COUNTRY DOCTOR COMMUNITY CLINIC (NPI# 1952592230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952592230
Entity Type Organization
Organization Name COUNTRY DOCTOR COMMUNITY CLINIC
Other Organization Name COUNTRY DOCTOR COMMUNITY HEALTH CENTERS-FAMILY PLANNING
Practice Address 500 19th Ave E
Seattle
WA 98112-4007
Practice Telephone 2062991620
Practice Fax Number 2062991622
Mailing Telephone 2062991620
Mailing Fax Number 2062991622
Enumeration Date 2007-08-05
Last Update Date 2008-06-23
Authorized Official Name SHONNIE EVANS (QI MANAGER)
Authorized Official Telephone 2062991984
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0050X Clinic/Center
Specialization: Family Planning, Non-Surgical
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WA 7900632 05

Other Provider/Organization Names

Other Name Type Code
Country Doctor Community Health Centers-Family Planning Doing Business As Name - Organization

Other Provider IDs and Locations

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
1902027253 Country Doctor Community Clinic Pharmacy 2101 E Yesler Way, Suite 150, Seattle, WA 98122-5959 2007-05-02
1164642278 Country Doctor Community Clinic Family Medicine 2101 E Yesler Way, Suite 150, Seattle, WA 98122-5959 2007-04-30

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations COUNTRY DOCTOR COMMUNITY CLINIC 500 19th Ave E, Seattle, WA 98112-4007

Office Location

Street Address 500 19TH AVE E
City SEATTLE
State WA
Zip Code 98112-4007

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629055801 Cameron Clark Winter Physician Assistant 500 19th Ave E, Seattle, WA 98112-4007 2005-12-28
1033717301 Megan Strader Social Worker 500 19th Ave E, Seattle, WA 98112-4072 2020-10-09
1922605542 Catharine Alexandra Beveridge Social Worker 500 19th Ave E, Seattle, WA 98112-4072 2020-10-06
1538798368 Casey Mccoy Dietitian, Registered 500 19th Ave E, Seattle, WA 98112-4072 2020-04-03
1568912830 Glenn W Leever Counselor 500 19th Ave E, Seattle, WA 98112-4007 2016-10-10
1033669312 Ivan V Sanchez Counselor 500 19th Ave E, Seattle, WA 98112-4007 2016-10-10
1831645993 Bessie Chi Pharmacist 500 19th Ave E, Seattle, WA 98112-4007 2016-08-29
1174865521 Emily Liebeskind Registered Nurse 500 19th Ave E, Seattle, WA 98112-4007 2013-03-25
1427302389 Richard N Prasad Case Manager/Care Coordinator 500 19th Ave E, Seattle, WA 98112-4007 2012-10-30
1326392283 Gerald M Knight Case Manager/Care Coordinator 500 19th Ave E, Seattle, WA 98112-4007 2012-10-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891254991 Justin Jeng-young Fu Student in an Organized Health Care Education/Training Program 125 16 Th Ave E, Csb 545, Seattle, WA 98112 2019-03-18
1275015604 Eyewear Gallery LLC Optometrist 3121 E. Madison St Ste 102, Seattle, WA 98112 2018-09-01
1336637081 Oh Plastic and Reconstructive Surgery LLC Plastic Surgery 602 27th Ave E, Seattle, WA 98112 2018-04-27
1992228191 John Joseph Folta Chiropractor 3121 E Madison St Ste 103a, Seattle, WA 98112 2017-07-19
1083161061 Sheick Toure Counselor 122 16 Ave E, Seattle, WA 98112 2016-09-07
1457721805 Jessica Donovan Audiologist 201 16th Ave E # Cmb, Seattle, WA 98112 2015-09-29
1952777427 Ronald Berenson Physiological Laboratory 2032 41st Avenue, Seattle, WA 98112 2015-08-19
1225419005 Adrienne Foley Counselor 1833 40th Ave. E., Seattle, WA 98112 2015-06-17
1952721771 Ling Guo Internal Medicine Kaiser Permanente Central Hospital Building, 126 16th Ave E, Seattle, WA 98112 2014-04-19
1134548068 Anne Gayman Family Medicine 125 16th Avenue East, Csb-540, Group Health Family Medicine Residency, Seattle, WA 98112 2014-04-08
Find all providers in zip 98112

Taxonomy Information

Taxonomy Code 261QF0050X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Family Planning, Non-Surgical

Taxonomy Definition

An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740793298 Sea-mar Community Health Center Clinic/Center 9650 15th Ave Sw, Seattle, WA 98106-2820 2017-11-07
1124289145 Sea-mar Community Health Center Clinic/Center 8915 14th Ave S, 3rd Floor, Seattle, WA 98108-4813 2008-06-23
1801953252 Seattle-king County Dept of Public Health Clinic/Center 401 5th Ave, Suite 1200, Seattle, WA 98104-2333 2007-01-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1912410523 Sea-mar Community Health Center Clinic/Center 14508 Ne 20th Ave Ste 2, Vancouver, WA 98686-6434 2017-11-06
1427561018 Sea-mar Community Health Center Clinic/Center 3560 Bridgeport Way W Ste 1a, University Place, WA 98466-4446 2017-11-06
1649783259 Sea-mar Community Health Center Clinic/Center 10217 125th Street Ct E Ste 300, Puyallup, WA 98374-2761 2017-11-06
1891104980 Sea Mar Community Health Center Clinic/Center 2342 Tacoma Ave S, Tacoma, WA 98402-1408 2014-08-04
1801204078 Sea-mar Community Health Center Clinic/Center 14916 Washington Ave Sw, Lakewood, WA 98498-2271 2014-07-31
1366792707 Sea-mar Community Health Center Clinic/Center 1920 100th Street Ne, Everett, WA 98208 2012-09-13
1023341997 Family Services Clinic/Center 1402 E Craig Street, Moses Lake, WA 98837 2009-09-10
1124230941 Family Health Centers Clinic/Center 716 1st Ave, Okanogan, WA 98840-9679 2007-05-04
1801962501 Planned Parenthood of Western Washington Clinic/Center 702 30th Ave Sw, Puyallup, WA 98373-2756 2006-11-27
1255400073 Feminist Women's Health Center Clinic/Center 1401-a Martin Luther King Junior Way, Tacoma, WA 98405 2006-11-07
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Competitor

Search similar providers

City SEATTLE
Zip Code 98112

Improve Information

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Dataset Information

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.

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