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Organization

COMMUNITY HEALTH PLAN OF WASHINGTON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALAN LEDERMAN (CHIEF OPERATING OFFICER)
(206) 515-4704
Entity
Organization

Contact information

Practice address
1111 3RD AVE STE 400, SEATTLE, WA 98101-3207
(206) 521-8833
(206) 521-8834
Mailing address
1111 3RD AVE STE 400, SEATTLE, WA 98101-3207
(206) 521-8833
(206) 521-8834

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
302R00000X
Health Maintenance Organization
601727749
WA

Other

Enumeration date
08/26/2013
Last updated
08/29/2019
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