| City Of Lynnwood | |
|
19321 44th Ave W Lynwood WA 98036-5664 | |
| (425) 670-5648 | |
| (425) 771-0122 |
| Full Name | City Of Lynnwood |
|---|---|
| Speciality | Clinic/center - Prison Health |
| Location | 19321 44th Ave W, Lynwood, Washington |
| Authorized Official Name and Position | Coleman Langdon (CHIEF OF POLICE) |
| Authorized Official Contact | 4256705601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| City Of Lynnwood 19321 44th Ave W Lynwood WA 98036-5664 Ph: (425) 670-5648 | City Of Lynnwood 19321 44th Ave W Lynwood WA 98036-5664 Ph: (425) 670-5648 |
| NPI Number | 1265679013 |
|---|---|
| Provider Enumeration Date | 01/15/2009 |
| Last Update Date | 05/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265679013 | NPI | - | NPPES |
| P00773028 | Other | WA | RAILROAD MC |
| 2000883 | Medicaid | WA | |
| 0247411 | Other | WA | L&I/CRIME VICTIMS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QP2400X | Clinic/center - Prison Health | (* (Not Available)) | Primary |