Organization
INTERNATIONAL COMMUNITY HEALTH SERVICES
Active
Other names
International District Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HERMES SHAHBAZIAN (CFO)
(206) 788-3618
Entity
Organization
Contact information
Practice address
720 8TH AVE S, SEATTLE, WA 98104-3032
(206) 788-3700
(206) 788-3706
Mailing address
PO BOX 3007, SEATTLE, WA 98114-3007
(206) 788-3600
(206) 652-5216
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
122300000X
Dentist
—
—
152W00000X
Optometrist
—
—
171100000X
Acupuncturist
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
251B00000X
Case Management Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7034051
—
WA
Enumeration date
08/22/2006
Last updated
03/29/2021
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