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Organization

INTERNATIONAL COMMUNITY HEALTH SERVICES

Active
Parent organization
INTERNATIONAL COMMUNITY HEALTH SERVICES
Other names
Holly Park Medical & Dental Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
INTERNATIONAL COMMUNITY HEALTH SERVICES
Authorized official
PEGGY PHUNG (ASSISTANT FINANCE MANAGER)
(206) 788-3605
Entity
Organization

Contact information

Practice address
3815 S OTHELLO ST, 2ND FLOOR, SEATTLE, WA 98118-3510
(206) 788-3500
(206) 788-3521
Mailing address
PO BOX 24911, SEATTLE, WA 98124-0911
(206) 788-3600
(206) 652-5216

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7900012
WA
Enumeration date
03/19/2007
Last updated
12/20/2007
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