Healthcare Provider Details

I. General information

NPI: 1124957188
Provider Name (Legal Business Name): UNITEDHEALTHCARE OF WASHINGTON, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HEALTH DR
EDEN PRAIRIE MN
55344-2955
US

IV. Provider business mailing address

1 HEALTH DR
EDEN PRAIRIE MN
55344-2955
US

V. Phone/Fax

Practice location:
  • Phone: 763-361-0900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: QUENTIN FELIX
Title or Position: CHIEF FINANCE OFFICER
Credential:
Phone: 952-912-6648