Organization
COLUMBIA LUTHERAN MINISTRIES
Active
Other names
Columbia Lutheran Home
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HEYER (VICE-PRESIDENT OF FINANCE)
(206) 632-7400
Entity
Organization
Contact information
Practice address
4700 PHINNEY AVE N, SEATTLE, WA 98103-6374
(206) 632-7400
(206) 633-0589
Mailing address
4700 PHINNEY AVE N, SEATTLE, WA 98103-6374
(206) 632-7400
(206) 633-0589
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH48
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4104808
—
WA
01
—
578
PREMERA BLUE CROSS
WA
Enumeration date
06/15/2005
Last updated
08/17/2007
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