PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY


Address: 27230 216th Ave Se, Ste D, Maple Valley, WA 98038-0000
Phone: 4256564100

PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY (NPI# 1700833480) 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) 1700833480
Entity Type Organization
Organization Name PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY
Other Organization Name VMC LAKE SAWYER PRIMARY CARE
Practice Address 27230 216th Ave Se
Ste D
Maple Valley
WA 98038-0000
Mailing Address 3600 Lind Ave Sw
Suite 100
Renton
WA 98055-4934
Practice Telephone 4256564100
Practice Fax Number 4256564109
Mailing Telephone 4256565412
Mailing Fax Number 4256565423
Enumeration Date 2006-05-28
Last Update Date 2008-07-21
Authorized Official Name MELISSA FARLEY (TECHNICAL COORDINATOR)
Authorized Official Telephone 4259176282
Authorized Official Credential CPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 7024516 05

Other Provider/Organization Names

Other Name Type Code
VMC Lake Sawyer Primary Care Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1528015229 Public Hospital District #1 of King County Family Medicine 3600 Lind Ave Sw, Suite 170, Renton, WA 98055-4934 2006-05-28
1649227380 Public Hospital District #1 of King County Physician Assistant 14410 Se Petrovitsky Rd, Suite 104, Renton, WA 98058-8900 2006-05-28
1629025333 Public Hospital District #1 of King County Pediatrics 6920 Coal Creek Pkwy Se, Ste 12, Newcastle, WA 98059-3147 2006-05-28
1508188566 Public Hospital District #1 of King County Internal Medicine 1205 N 10th St, Ste A, Renton, WA 98057-5577 2010-02-18
1316273345 Public Hospital District #1 of King County Counselor 400 S 43rd St, Renton, WA 98055-5714 2009-10-27
1427384411 Public Hospital District #1 of King County Clinical Neuropsychologist 3915 Talbot Rd S, Ste 104, Renton, WA 98055-5738 2009-10-26
1871748111 Public Hospital District #1 of King County Hospitalist 400 S 43rd St, Renton, WA 98055-5714 2008-12-01
1629245865 Public Hospital District #1 of King County Family Medicine 10555 Se Carr Rd, Ste M, Renton, WA 98055-5820 2008-05-15
1447305693 Public Hospital District #1 of King County Neurological Surgery 1550 N 115th St, Seattle, WA 98133-8401 2007-01-25
1710032917 Public Hospital District #1 of King County Neurological Surgery 3915 Talbot Rd S, Ste 206, Renton, WA 98055-5738 2007-01-25

Office Location

Street Address 27230 216TH AVE SE
STE D
City MAPLE VALLEY
State WA
Zip Code 98038-0000

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619456357 Ryan Koichi Taniguchi Physical Therapist 26837 Maple Valley Black Diamond Rd Se Ste 200, Maple Valley, WA 98038 2018-08-13
1841722311 Michelle Atkinson Behavior Technician 26846 226th Pl Se, Maple Valley, WA 98038 2017-04-03
1285019828 Blue River Counseling, LLC Counselor 22728 228th Avenue Se, Maple Valley, WA 98038 2015-07-24
1619356060 Victoria Labrie Specialist/Technologist 24961 230th Pl Se, Maple Valley, WA 98038 2015-05-19
1114328523 Scott Joseph Akers Physical Therapist 26837 Maple Valley Black Diamond Road, Suite 200, Maple Valley, WA 98038 2014-09-05
1487069647 Thomas A. Holt Dds Pllc Dentist 27016 Maple Valley Black Diamond Road South East, Maple Valley, WA 98038 2014-06-26
1548515216 Stirewalt PC Dentist 24040 Se Kent Kangley Rd, Suite E200, Maple Valley, WA 98038 2012-07-19
1124399183 Samantha Halfen Counselor 26828 Maple Valley Hwy, Suite #152, Maple Valley, WA 98038 2012-01-24
1326336868 Troy Aaron Nordyke Physical Therapist 26837 Maple Valley Highway, Suite 200, Maple Valley, WA 98038 2011-07-19
1598074510 Luna Healthcare, LLC Audiologist-Hearing Aid Fitter 22010 Se 248th Street, Maple Valley, WA 98038 2010-09-27
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Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518599273 Etherton, Inc Family Medicine 2610 Yelm Hwy Se, Olympia, WA 98501-4826 2020-02-10
1205494291 Reah Ann Tobola Family Medicine 4602 78th Avenue Ct W, University Place, WA 98466-3036 2019-06-04
1760909055 Washington State University Family Medicine 1455 Ne Cougar Way Bohler Complex, Pullman, WA 99164-0001 2017-08-28
1275057655 Choice Family Medicine LLC Family Medicine 135 Thorne St, Walla Walla, WA 99362-3142 2017-07-27
1366826240 Andrew Parker Family Medicine 3324 Bernie Rd, Camano Island, WA 98282-8217 2015-07-10
1538572151 Daniel Joseph Cevetello Family Medicine 127 Ne Camano Dr Ste A, Camano Island, WA 98282-8732 2014-06-11
1417205618 John Gary Meyer Family Medicine 5715 48th St W, University Place, WA 98467-3677 2012-08-17
1932347119 Iris Crawford Family Medicine 4208 Leary Way, Seattle, WA 98107 2009-01-27
1497925226 Ingeborg Espinosa Cox Family Medicine 325 9th Ave # 359739, Seattle, WA 98104-2420 2008-03-07
1174791974 Kenneth J Ritter Md Pllc Family Medicine 1310 South Union, A-201, Tacoma, WA 98405 2008-02-14
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Competitor

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City MAPLE VALLEY
Zip Code 98038

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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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