SEATTLE INFECTIOUS DISEASE CLINIC PLLC


Address: 1420a 25th Ave, Seattle, WA 98122-3016
Phone: 2063290338

SEATTLE INFECTIOUS DISEASE CLINIC PLLC (NPI# 1679991087) 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) 1679991087
Entity Type Organization
Organization Name SEATTLE INFECTIOUS DISEASE CLINIC PLLC
Practice Address 1420a 25th Ave
Seattle
WA 98122-3016
Mailing Address Po Box 24303
Seattle
WA 98124-0303
Practice Telephone 2063290338
Mailing Telephone 2033290338
Enumeration Date 2014-04-02
Last Update Date 2014-04-02
Authorized Official Name DR. WARREN L DINGES (MEMBER)
Authorized Official Telephone 2063290338
Authorized Official Credential MD, PHD
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 IDs and Locations

NPI Name Taxonomy Address Enumeration
1164830030 Seattle Infectious Disease Clinic Pllc Internal Medicine 509 Olive Way, Suite 752, Seattle, WA 98101-1720 2014-07-23

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations SEATTLE INFECTIOUS DISEASE CLINIC PLLC 509 Olive Way # 752, Seattle, WA 98101

Office Location

Street Address 1420A 25TH AVE
City SEATTLE
State WA
Zip Code 98122-3016

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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...

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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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