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NPI Code Detail

MEDICARE: INTERNATIONAL COMMUNITY HEALTH SERVICES

MEDICARE: INTERNATIONAL COMMUNITY 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
1103T00000XPsychologist
2122300000XDentist
3152W00000XOptometrist
4171100000XAcupuncturist
5207Q00000XFamily Medicine Physician
6207R00000XInternal Medicine Physician
7208000000XPediatrics Physician
82084P0800XPsychiatry Physician
9213ES0131XFoot Surgery Podiatrist
10251B00000XCase Management Agency
11363A00000XPhysician Assistant
12363L00000XNurse Practitioner
13261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376659151
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTERNATIONAL COMMUNITY HEALTH SERVICES
Provider Business Mailing Address
First Line : PO BOX 3007
Second Line :
City : SEATTLE
State : WA
Zip : 98114-3007
Country : US
Telephone Number : 206-788-3600
Fax Number : 206-652-5216
Provider Business Practice Location Address
First Line : 720 8TH AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98104-3032
Country : US
Telephone Number : 206-788-3700
Fax Number : 206-788-3706
Authorized Official
Title or Position : CFO
Name : MS. HERMES SHAHBAZIAN
Credential :
Telephone Number : 206-788-3618
Provider Enumeration Date : 08/22/2006
Last Update Date : 03/29/2021

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Directions to “INTERNATIONAL COMMUNITY HEALTH SERVICES ” Practice Location

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