Organization
COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY
Active
Parent organization
COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY
Other names
FQHC Enhancement
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY
Authorized official
KENNETH M GREEN (EXECUTIVE DIRECTOR)
(425) 789-3700
Entity
Organization
Contact information
Practice address
5929 EVERGREEN WAY, EVERETT, WA 98203-6031
(425) 789-3700
(425) 789-3754
Mailing address
PO BOX 13060, EVERETT, WA 98206-3060
(425) 789-3700
(425) 789-3754
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7034036
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7590227
—
WA
Enumeration date
05/17/2007
Last updated
06/13/2008
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