Organization
INTERNATIONAL COMMUNITY HEALTH SERVICES
Active
Parent organization
600436519
Other names
ICHS Clinic at ACRS
Organization subpart
Yes
Provider details
NPI number
Legal business name
600436519
Authorized official
HERMES SHAHBAZIAN (CFO)
(206) 788-3618
Entity
Organization
Contact information
Practice address
3639 MARTIN LUTHER KING JR WAY S, SEATTLE, WA 98144-6847
(206) 695-7600
Mailing address
PO BOX 3007, SEATTLE, WA 98114-3007
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
600436519
WA
Other
Enumeration date
07/10/2014
Last updated
03/29/2021
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