International Community Health Services
Clinic/Center, Federally Qualified Health Center (FQHC) in Seattle, WA. Organization (NPI-2).
NPI number1356757389
StatusActive
Last updated in NPPESMar 29, 2021
Details
- NPI
- 1356757389
- Entity type
- Organization (NPI-2)
- Legal business name
- International Community Health Services
- Organization subpart
- Yes
- Enumeration date
- Jul 10, 2014
- Certification date
- Mar 29, 2021
- Last updated
- Mar 29, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | 600436519 | WA | Yes |
Other names
- Ichs Clinic At Acrs (Other Name)
Practice location
3639 Martin Luther King Jr Way SSeattle, WA 98144-6847
Phone 206-695-7600
Mailing address
Po Box 3007Seattle, WA 98114-3007
Authorized official
Hermes Shahbazian
Cfo
2067883618
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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