Organization
COMMUNITY HEALTH CENTERS OF KING COUNTY
Active
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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