MEDICARE: SWEDISH HEALTH SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency	IS-448	WA

General Provider Information

NPI Number	:	1063519593
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWEDISH HEALTH SERVICES

Provider Business Mailing Address
First Line	:	6100 219TH ST SW
Second Line	:	SUITE 400
City	:	MOUNTLAKE TERRACE
State	:	WA
Zip	:	98043-2222
Country	:	US
Telephone Number	:	425-778-2400
Fax Number	:	425-608-8682

Provider Business Practice Location Address
First Line	:	5701 6TH AVE S
Second Line	:	SUITE 404
City	:	SEATTLE
State	:	WA
Zip	:	98108-2568
Country	:	US
Telephone Number	:	206-386-6602
Fax Number	:	206-386-3720

Authorized Official
Title or Position	:	ASSISTANT SECREATRY FOR ENROLLMENT
Name	:	DONALD WAYNE ANDERSON JR.
Credential	:
Telephone Number	:	425-358-9786

Provider Enumeration Date	:	09/19/2006
Last Update Date	:	05/06/2025

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