# PUBLIC HOSPITAL DISTRICT \#1 OF KING COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VMC Renton Landing Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508188566
- **Authorized official:** LARRY SMITH (SR VICE PRESIDENT/CFO)
- **Authorized official phone:** (425) 656-5536

## Contact information

- **Practice address:** 1205 N 10TH ST, STE A, RENTON, WA 98057-5577
- **Practice address phone:** (425) 656-4211
- **Practice address fax:** (425) 656-4053
- **Mailing address:** PO BOX 34876, SEATTLE, WA 98124-1876
- **Mailing address phone:** (425) 656-4211
- **Mailing address fax:** (425) 656-4053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | H-155 | WA | Yes |
| 207R00000X | Internal Medicine Physician | H-155 | WA | — |
| 363A00000X | Physician Assistant | H-155 | WA | — |
| 363L00000X | Nurse Practitioner | H-155 | WA | — |

## Other

- **Enumeration date:** 02/18/2010
- **Last updated:** 02/18/2010