Organization
INTERNATIONAL COMMUNITY HEALTH SERVICES
Active
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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