CHS WASHINGTON STATE MEDICAL P C


Address: 1100 Fairview Ave N, Seattle, WA 98109-4433
Phone: 2066673000

CHS WASHINGTON STATE MEDICAL P C (NPI# 1073044491) 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) 1073044491
Entity Type Organization
Organization Name CHS WASHINGTON STATE MEDICAL P C
Other Organization Name THE HEALTH CLINIC
Practice Address 1100 Fairview Ave N
Seattle
WA 98109-4433
Mailing Address 5500 Maryland Way
Suite 400
Brentwood
TN 37027-7048
Practice Telephone 2066673000
Practice Fax Number 2066672273
Enumeration Date 2017-03-27
Last Update Date 2017-03-27
Authorized Official Name DR. PETER J VASQUEZ (PRESIDENT)
Authorized Official Telephone 6154686248
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
The Health Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1497118400 Chs Washington State Medical P C Clinic/Center 4519 Grandview Rd, Blaine, WA 98230-9640 2016-03-29

Office Location

Street Address 1100 FAIRVIEW AVE N
City SEATTLE
State WA
Zip Code 98109-4433

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548359698 Paul Vincent O'donnell Internal Medicine 1100 Fairview Ave N, Seattle, WA 98109-4433 2006-10-12
1427414564 Claudia Kumai Physician Assistant 1100 Fairview Ave N, Me-b143, Seattle, WA 98109-4433 2016-01-05
1821434234 Lindsay Marie Hannan Internal Medicine 1100 Fairview Ave N, D5-100, Seattle, WA 98109-4433 2013-05-13
1740534510 Peggy Lee Porter Pathology 1100 Fairview Ave N, Seattle, WA 98109-4433 2012-11-01
1922356799 Caroline Victoria Taylor Preventive Medicine 1100 Fairview Ave N, Seattle, WA 98109-4433 2012-08-27
1831328566 Andrew Daniel Trister Radiology 1100 Fairview Ave N, C-108, Seattle, WA 98109-4433 2009-07-01
1538394275 Kanwaldeep K Mallhi Pediatrics 1100 Fairview Ave N, Thomas Building, D5-387, Seattle, WA 98109-4433 2009-05-26
1457508632 Solomon A Graf Internal Medicine 1100 Fairview Ave N, D5-100, Seattle, WA 98109-4433 2008-08-19
1396907275 Johnnie Jose Orozco Internal Medicine 1100 Fairview Ave N, D3-190, Seattle, WA 98109-4433 2008-07-01
1528234143 Seth Michaels Pollack Internal Medicine 1100 Fairview Ave N, D3-100, Seattle, WA 98109-4433 2008-05-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710590179 Direct Urgent Care Inc Internal Medicine 220 6th Avenue North, Seattle, WA 98109 2020-08-26
1073147104 Hannah Christine Hoyt Registered Nurse 1354 Aloha St, Seattle, WA 98109 2020-02-27
1508402645 Emily Elizabeth Rock Counselor Rain City Integrative Clinic, 2730 Westlake Ave N, Seattle, WA 98109 2019-11-25
1770048464 Roger Leach Massage Therapist 4162, Roy Street, Seattle, WA 98109 2019-02-06
1306316658 Laura Katie Richer Counselor 1817 Queen Anne Ave. N., 204, Seattle, WA 98109 2018-11-29
1912492828 One Medical Group of Washington, P.C. Psychologist 625 Boren Avenue North, Seattle, WA 98109 2018-06-25
1942793526 Washington Dental Corporation, PC Dentist 527 Boren Ave N, Seattle, WA 98109 2018-06-08
1417449968 Chelsie Mccalla Occupational Therapy Assistant Mirabella, 116 Fairview Ave N, Seattle, Seattle, WA 98109 2018-05-31
1710405964 Next Level Sports Performance Consulting Clinic/Center 24 Roy Street, #461, Seattle, WA 98109 2017-09-07
1679091953 Amy Ly Indorf Pharmacist 825 Eastlake Ave E #msg5-90, Seattle, WA 98109 2017-09-06
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942735667 The Evergreen At Northpoint Clinic/Center 2111 N Northgate Way Ste 101, Seattle, WA 98133-9018 2017-05-01
1174061543 Antares Wellness Pllc Clinic/Center 9319 7th Ave S, Seattle, WA 98108-4604 2017-02-06
1306231170 Objective Medical Assessments Corp Clinic/Center 401 2nd Ave S, #110, Seattle, WA 98104-3858 2015-03-30
1679991087 Seattle Infectious Disease Clinic Pllc Clinic/Center 1420a 25th Ave, Seattle, WA 98122-3016 2014-04-02
1083965792 Vital Family Medicine, Pllc Clinic/Center 3513 Ne 45th St Ste 2, Seattle, WA 98105-5665 2012-09-21
1144525767 5focus LLC Clinic/Center 1009 8th Ave N, Seattle, WA 98109-3504 2011-01-12
1710100268 Ayu Natural Medicine Clinic Clinic/Center 819 Ne 65th St, Seattle, WA 98115-5539 2007-04-11
1396810701 Kaiser Foundation Health Plan of Washington Clinic/Center 320 Westlake Ave. N., Suite 100, Seattle, WA 98109-5233 2006-11-21
1699253112 Advanced Integrative Medicine of Seattle Institute, Pllc Clinic/Center 2825 Eastlake Ave E Ste 115, Seattle, WA 98102-3084 2018-08-06
1982120390 Integrated Rehabilitation Group, PC Clinic/Center 2821 Nw Market St Ste E, Seattle, WA 98107-5815 2017-08-17
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Competitor

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City SEATTLE
Zip Code 98109

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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