Providence Intervention Center For Assault & Abuse

LBN: Providence Everett Medical Center
Providence Intervention Center For Assault & Abuse is an health care organization with primary practice located at 2722 Colby Ave Suite 200, Everett WA 98201-3557. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Providence Everett Medical Center can be contacted via phone (425) 388-7413, or through Kobayashi, Joyce via phone (425) 317-0186.

Contact Information

Primary practice address
2722 Colby Ave Suite 200 Everett WA 98201-3557
Phone: (425) 388-7413
Fax: (425) 388-7480
Website:
Map and Directions
Authorized official contact:
Name: Kobayashi, Joyce
Phone: (425) 317-0186

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1194743823
LBN Legal business name Providence Everett Medical Center
DBA Doing business as Providence Intervention Center For Assault & Abuse
Authorized official Kobayashi, Joyce
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2006
Last updated Sep 21st, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194743823 NPPES
Washington MEDICAID 9643602

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