Organization
FRED HUTCHINSON CANCER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY DAVIDSON (SENIOR VP)
(206) 667-6363
Entity
Organization
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 606-7222
(206) 606-1025
Mailing address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 606-6206
(206) 606-6299
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
601883375
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1141698
MERCY HORIZON
—
05
—
12033782
—
NM
01
—
149053
LABOR & INDUSTRIES
—
01
—
196
PREMERA
—
05
—
3022936
—
WA
05
—
412284
—
MT
01
—
505745001
GROUP HEALTH POST BMT OUT
—
01
—
505745002
GROUP HEALTH BMT INPATIEN
—
01
—
505745003
GROUP HEALTH NON BMT
—
01
—
5858SE
REGENCE BLUE SHIELD
—
05
—
806022900
—
ID
01
—
HP196
PREMERA HEALTH PLUS
—
05
—
HS4751P
—
AK
01
—
MC196
PREMERA HEALTHY OPTIONS
—
Enumeration date
01/30/2006
Last updated
06/15/2022
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