Organization Name: | HEALTHPOINT |
NPI Number: | 1124482310 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DUANE NAKAMURA (CREDENTIALING COORDINATOR) |
Mailing Address: | 13030 Military Rd S Suite 210 Tukwila |
State: | WA US |
Postal Code: | 981683085 |
Phone Number: | 4252771311 |
Fax Number: | |
NPI Enumeration Date: | 04/13/2016 |
NPI Last Update Date: | 04/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | 600461511 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |