P4 MEDICINE INSTITUTE


Address: 464 12th Ave Fl 400, Seattle, WA 98122-5567
Phone: 2064857340

P4 MEDICINE INSTITUTE (NPI# 1174080881) 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) 1174080881
Entity Type Organization
Organization Name P4 MEDICINE INSTITUTE
Practice Address 464 12th Ave Fl 400
Seattle
WA 98122-5567
Practice Telephone 2064857340
Mailing Telephone 2064857340
Enumeration Date 2019-02-28
Last Update Date 2019-02-28
Authorized Official Name DR. GEORGE E HADDAD (CHIEF MEDICAL OFFICER)
Authorized Official Telephone 2064993819
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations P4 MEDICINE INSTITUTE 401 Terry Ave N, Seattle, WA 98109-5263

Office Location

Street Address 464 12TH AVE FL 400
City SEATTLE
State WA
Zip Code 98122-5567

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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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1558639484 Clarity Health Services Clinic/Center 2125 Western Ave Ste 500, Seattle, WA 98121-2131 2011-12-07
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Competitor

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City SEATTLE
Zip Code 98122

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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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