Healthcare Provider Details

I. General information

NPI: 1134683279
Provider Name (Legal Business Name): FRANCISCAN CITY URGENT CARE SERVICES, PS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2019
Last Update Date: 01/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1344 WINTERGREEN LN NE STE 100
BAINBRIDGE ISLAND WA
98110-5118
US

IV. Provider business mailing address

1345 RXR PLZ FL 13
UNIONDALE NY
11556-1301
US

V. Phone/Fax

Practice location:
  • Phone: 206-201-0488
  • Fax: 206-201-0490
Mailing address:
  • Phone: 516-453-0435
  • Fax: 646-846-3283

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARLENA SIMPSON
Title or Position: VICE PRESIDENT, CREDENTIALING
Credential: CPMSM
Phone: 516-453-0435