# COLUMBIA LUTHERAN MINISTRIES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Columbia Lutheran Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972508141
- **Authorized official:** DAVID HEYER (VICE-PRESIDENT OF FINANCE)
- **Authorized official phone:** (206) 632-7400

## Contact information

- **Practice address:** 4700 PHINNEY AVE N, SEATTLE, WA 98103-6374
- **Practice address phone:** (206) 632-7400
- **Practice address fax:** (206) 633-0589
- **Mailing address:** 4700 PHINNEY AVE N, SEATTLE, WA 98103-6374
- **Mailing address phone:** (206) 632-7400
- **Mailing address fax:** (206) 633-0589

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH48 | WA | Yes |

## Other

- **Enumeration date:** 06/15/2005
- **Last updated:** 08/17/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4104808 | — | WA |
| 01 | — | 578 | PREMERA BLUE CROSS | WA |