| Ichs Clinic at Acrs | |
|
3639 Martin Luther King Jr Way S Seattle WA 98144-6847 | |
| (206) 695-7600 | |
| Not Available |
| Full Name | Ichs Clinic at Acrs |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3639 Martin Luther King Jr Way S, Seattle, Washington |
| Authorized Official Name and Position | Hermes Shahbazian (CFO) |
| Authorized Official Contact | 2067883618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ichs Clinic at Acrs Po Box 3007 Seattle WA 98114-3007 | Ichs Clinic at Acrs 3639 Martin Luther King Jr Way S Seattle WA 98144-6847 Ph: (206) 695-7600 |
| NPI Number | 1356757389 |
|---|---|
| Provider Enumeration Date | 07/10/2014 |
| Last Update Date | 03/29/2021 |
| Certification Date | 03/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356757389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 600436519 (Washington) | Primary |
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