International Community Health Services
Clinic/Center, Federally Qualified Health Center (FQHC) in Seattle, WA. Organization (NPI-2).
NPI number1114600970
StatusActive
Last updated in NPPESAug 9, 2023
Details
- NPI
- 1114600970
- Entity type
- Organization (NPI-2)
- Legal business name
- International Community Health Services
- Organization subpart
- Yes
- Enumeration date
- Aug 9, 2023
- Certification date
- Aug 7, 2023
- Last updated
- Aug 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Ichs Mobile Medical (Doing Business As)
Practice location
3815 S Othello St Fl 2Seattle, WA 98118-3510
Phone 206-788-3500 · Fax 206-788-3521
Mailing address
Po Box 3007Seattle, WA 98114-3007
Phone 206-788-3600 · Fax 206-652-5216
Authorized official
Hermes Shahbazian
Cfo
2067883618
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