Organization
COMMUNITY HEALTH CENTERS OF KING COUNTY
Active
Other names
Burien Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
VIKKI WILKERSON (CREDENTIALING COORDINATOR)
(425) 277-1311
Entity
Organization
Contact information
Practice address
457 SW 148TH ST STE 202, BURIEN, WA 98166-1975
(425) 277-1311
(425) 277-1566
Mailing address
955 POWELL AVE SW STE A, RENTON, WA 98055-2908
(425) 277-1311
(425) 277-1566
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
MEDICARE PART A
WA
Enumeration date
10/26/2006
Last updated
09/14/2007
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