International Community Health Services
Clinic/Center, Federally Qualified Health Center (FQHC) in Seattle, WA. Organization (NPI-2).
NPI number1376659151
StatusActive
Last updated in NPPESMar 29, 2021
Details
- NPI
- 1376659151
- Entity type
- Organization (NPI-2)
- Legal business name
- International Community Health Services
- Organization subpart
- No
- Enumeration date
- Aug 22, 2006
- Certification date
- Mar 29, 2021
- Last updated
- Mar 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 103T00000X | Psychologist | – | – | |
| 122300000X | Dentist | – | – | |
| 152W00000X | Optometrist | – | – | |
| 171100000X | Acupuncturist | – | – | |
| 207Q00000X | Family Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 208000000X | Pediatrics | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | |
| 213ES0131X | – | – | ||
| 251B00000X | Case Management | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Other names
- International District Community Health Center (Former Legal Business Name)
Practice location
720 8th Ave SSeattle, WA 98104-3032
Phone 206-788-3700 · Fax 206-788-3706
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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