COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY (NPI# 1932231669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932231669 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY |
| Other Organization Name | COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY BROADWAY |
| Practice Address |
1424 Broadway Everett WA 98201-1720 |
| Mailing Address |
8609 Evergreen Way Everett WA 98208-2619 |
| Practice Telephone | 4257892000 |
| Practice Fax Number | 4257892096 |
| Mailing Telephone | 4257893700 |
| Mailing Fax Number | 4257893750 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2016-03-25 |
| Authorized Official Name | ROBERT C FARRELL (CEO) |
| Authorized Official Telephone | 4257893700 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 7034036 | WA | Allopathic & Osteopathic Physicians |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
7034036 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7034036 | 05 |
| Other Name | Type Code |
|---|---|
| Community Health Center of Snohomish County Broadway | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447678875 | Community Health Center of Snohomish County | Pharmacy | 23300 Highway 99, Edmonds, WA 98026-8744 | 2014-04-02 |
| 1013049741 | Community Health Center of Snohomish County | Family Medicine | 4111 194th St Sw Ste 100, Lynnwood, WA 98036-4604 | 2007-03-09 |
| 1730136367 | Community Health Center of Snohomish County | Family Medicine | 8609 Evergreen Way, Everett, WA 98208-2619 | 2006-05-28 |
| 1437675188 | Community Health Center of Snohomish County | Clinic/Center | 930 N Broadway, Everett, WA 98201-1409 | 2017-08-15 |
| 1548786296 | Community Health Center of Snohomish County | Clinic/Center | 4201 Rucker Ave, Everett, WA 98203-2237 | 2017-08-15 |
| 1699102129 | Community Health Center of Snohomish County | Clinic/Center | 1424 Broadway, Everett, WA 98201-1720 | 2013-09-30 |
| 1821420589 | Community Health Center of Snohomish County | Pharmacy | 326 S Stillaguamish Ave, Arlington, WA 98223-1652 | 2013-08-05 |
| 1649602756 | Community Health Center of Snohomish County | Clinic/Center | 326 S Stillaguamish Ave, Arlington, WA 98223-1652 | 2013-07-31 |
| 1437438058 | Community Health Center of Snohomish County | Clinic/Center | 21701 76th Ave W, Suite 300, Edmonds, WA 98026-7536 | 2011-08-12 |
| 1073720108 | Community Health Center of Snohomish County | Family Medicine | 5929 Evergreen Way, Everett, WA 98203-6031 | 2007-05-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY | 8609 Evergreen Way, Everett, WA 98208-2619 |
| Washington State Corporations | COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY | 8609 Evergreen Way, Everett, WA 98208-2619 |
| Street Address |
1424 BROADWAY |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497370001 | Jacob Christopher Memmott | Nurse Practitioner | 1424 Broadway, Everett, WA 98201-1720 | 2020-06-09 |
| 1386154359 | Pallavi Golani | Dentist | 1424 Broadway, Everett, WA 98201-1720 | 2017-10-04 |
| 1457870701 | Maria Esquivel | Dental Hygienist | 1424 Broadway, Everett, WA 98201-1720 | 2017-09-18 |
| 1497107122 | Andrew Kokesh | Nurse Practitioner | 1424 Broadway, Everett, WA 98201-1720 | 2016-07-06 |
| 1346623188 | Aimi Mizutani | Dentist | 1424 Broadway, Everett, WA 98201-1720 | 2015-06-29 |
| 1902284490 | Quan Nguyen | Pharmacist | 1424 Broadway, Everett, WA 98201-1720 | 2015-05-15 |
| 1154715068 | Ashlin Mountjoy | Family Medicine | 1424 Broadway, Everett, WA 98201 | 2015-03-28 |
| 1366861494 | Rachel Skalina | Pediatrics | 1424 Broadway, Everett, WA 98201-1720 | 2014-04-16 |
| 1376972711 | Simi Kohli | Family Medicine | 1424 Broadway, Everett, WA 98201-1720 | 2013-11-06 |
| 1346678737 | Joel Puryear | Physician Assistant | 1424 Broadway, Everett, WA 98201-1720 | 2013-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477911410 | Sea-mar Community Health Center | Clinic/Center | 1920 100th St Se, Ste C2, Everett, WA 98208-3832 | 2016-02-05 |
| 1962775270 | Sea-mar Community Health Center | Clinic/Center | 1920 100th St Se, Bldg B, Everett, WA 98208-3832 | 2012-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447869342 | Unity Care Northwest | Clinic/Center | 6046 Portal Way Ste 202, Ferndale, WA 98248-7829 | 2020-07-27 |
| 1881219426 | Healthpoint | Clinic/Center | 2902 Ne 12th St Ste 102, Renton, WA 98056-3126 | 2020-06-09 |
| 1235778812 | Seattle Indian Health Board | Clinic/Center | 410 2nd Avenue Ext S, Seattle, WA 98104-2876 | 2019-12-31 |
| 1376185694 | Neighborcare Health | Clinic/Center | 2709 3rd Ave, Seattle, WA 98121-1217 | 2019-10-09 |
| 1295383958 | King County Finance | Clinic/Center | 908 Jefferson St Fl 11, Seattle, WA 98104-2433 | 2019-08-27 |
| 1063069839 | Sea-mar Community Health Center | Clinic/Center | 6004 Capitol Boulevard Southwest, Tumwater, WA 98501-8520 | 2019-08-26 |
| 1194379354 | Yakima Neighborhood Health Services | Clinic/Center | 201 S 6th St, Yakima, WA 98901-2928 | 2019-07-26 |
| 1881254449 | Neighborcare Health | Clinic/Center | 7101 62nd Ave Ne Ste 4, Seattle, WA 98115-7168 | 2019-06-17 |
| 1578028866 | Neighborcare Health | Clinic/Center | 2119 3rd Ave, Seattle, WA 98121-2333 | 2019-01-31 |
| 1144703885 | Healthpoint | Clinic/Center | 219 State Ave N, Ste 100, Kent, WA 98030 | 2018-09-10 |
| Find all providers with the same taxonomy | ||||
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| 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.