Organization
VALLEY MEDICAL GROUP-RENTON
Active
Parent organization
PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY
Other names
Public Hospital District #1 of King County
Organization subpart
Yes
Provider details
NPI number
Legal business name
PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY
Authorized official
MICHELE FORGUES LACKIE (SENIOR VICE PRESIDENT FINANCE/CFO)
(425) 690-6677
Entity
Organization
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 228-3440
(425) 656-5565
Mailing address
PO BOX 34876, SEATTLE, WA 98124-1876
(425) 656-5412
(425) 656-4096
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
H-155
WA
207R00000X
Internal Medicine Physician
H-155
WA
207T00000X
Neurological Surgery Physician
H-155
WA
207VG0400X
Gynecology Physician
H-155
WA
207W00000X
Ophthalmology Physician
H-155
WA
208000000X
Pediatrics Physician
H-155
WA
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084N0400X
Neurology Physician
H-155
WA
208600000X
Surgery Physician
H-155
WA
2086S0129X
Vascular Surgery Physician
H-155
WA
208M00000X
Hospitalist Physician
H-155
WA
251S00000X
Community/Behavioral Health Agency
—
—
282N00000X
General Acute Care Hospital
Primary
H-155
WA
363L00000X
Nurse Practitioner
H-155
WA
367A00000X
Advanced Practice Midwife
H-155
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008494
—
WA
Enumeration date
02/03/2010
Last updated
03/22/2023
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