# COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY
- **Other names:** Community Health Center of Snohomish County Colby Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164553137
- **Legal business name:** COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY
- **Authorized official:** MR. KENNETH M GREEN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (425) 789-3700

## Contact information

- **Practice address:** 2722 COLBY AVE, SUITE 318, EVERETT, WA 98201-3557
- **Practice address phone:** (425) 551-1000
- **Practice address fax:** (425) 551-1001
- **Mailing address:** PO BOX 13060, EVERETT, WA 98206-3060
- **Mailing address phone:** (425) 789-3700
- **Mailing address fax:** (425) 789-3750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5010921 | WA | Yes |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 06/13/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 32770 | WORKMEN COMPENSATION | WA |
| 05 | — | 5010921 | — | WA |
| 01 | — | 8934243 | CRIME VICTIM COMPENSATION | WA |