Organization
VIRGINIA MASON MEDICAL CENTER
Active
Parent organization
VIRGINIA MASON MEDICAL CENTER
Other names
Intensive Cardiac Rehabilitation
Organization subpart
Yes
Provider details
NPI number
Legal business name
VIRGINIA MASON MEDICAL CENTER
Authorized official
CRAIG W GOODRICH (CFO)
(206) 223-8861
Entity
Organization
Contact information
Practice address
925 SENECA ST, MS: H4-CARRB, SEATTLE, WA 98101-2756
(206) 625-7256
Mailing address
1100 9TH AVE, MS:M4-PFS, SEATTLE, WA 98101-2756
(206) 515-5811
(206) 341-0274
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
10/08/2019
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