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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 7900632 | 05 |
Other Name | Type Code |
---|---|
Country Doctor Community Health Centers-Family Planning | 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 |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | COUNTRY DOCTOR COMMUNITY CLINIC | 500 19th Ave E, Seattle, WA 98112-4007 |
Street Address |
500 19TH AVE E |
City | SEATTLE |
State | WA |
Zip Code | 98112-4007 |
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 |
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 Code | 261QF0050X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Family Planning, Non-Surgical |
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] |
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 |
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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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.