Organization
COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY
Active
Parent organization
COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY
Other names
Community Health Center of Snohomish County Broadway
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY
Authorized official
ROBERT C FARRELL (CEO)
(425) 789-3700
Entity
Organization
Contact information
Practice address
1424 BROADWAY, EVERETT, WA 98201-1720
(425) 789-2000
(425) 789-2096
Mailing address
8609 EVERGREEN WAY, EVERETT, WA 98208-2619
(425) 789-3700
(425) 789-3750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
7034036
WA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
7034036
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7034036
—
WA
Enumeration date
03/09/2007
Last updated
03/25/2016
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