# VIRGINIA MASON MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bailey-Boushay House
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720073604
- **Authorized official:** MR. BRIAN KNOWLES (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (206) 720-2244

## Contact information

- **Practice address:** 2720 E MADISON ST, SEATTLE, WA 98112-4739
- **Practice address phone:** (206) 322-5300
- **Practice address fax:** (206) 720-2299
- **Mailing address:** 2720 E MADISON ST, SEATTLE, WA 98112-4739
- **Mailing address phone:** (206) 322-5300
- **Mailing address fax:** (206) 720-2299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH-1106 | WA | Yes |

## Other

- **Enumeration date:** 09/15/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4111068 | — | WA |