| Community Health Center Of Snohomish County Broadway | |
|
1424 Broadway Everett WA 98201-1720 | |
| (425) 789-2000 | |
| (425) 789-2096 |
| Full Name | Community Health Center Of Snohomish County Broadway |
|---|---|
| Speciality | Clinic/Center |
| Location | 1424 Broadway, Everett, Washington |
| Authorized Official Name and Position | Robert C Farrell (CEO) |
| Authorized Official Contact | 4257893700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Center Of Snohomish County Broadway 8609 Evergreen Way Everett WA 98208-2619 Ph: (425) 789-3700 | Community Health Center Of Snohomish County Broadway 1424 Broadway Everett WA 98201-1720 Ph: (425) 789-2000 |
| NPI Number | 1932231669 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 03/25/2016 |
| Medicare PECOS PAC ID | 0446152003 |
|---|---|
| Medicare Enrollment ID | O20101103000682 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932231669 | NPI | - | NPPES |
| 7034036 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 7034036 (Washington) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 7034036 (Washington) | Primary |
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