Healthcare Provider Details
I. General information
NPI: 1689760126
Provider Name (Legal Business Name): NORTHWEST WALK-IN HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/04/2006
Last Update Date: 02/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2220 CORNWALL AVE
BELLINGHAM WA
98225-3719
US
IV. Provider business mailing address
2220 CORNWALL AVE
BELLINGHAM WA
98225-3719
US
V. Phone/Fax
- Phone: 360-734-2330
- Fax: 360-733-3783
- Phone: 360-734-2330
- Fax: 360-733-3783
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ADAM
C
NESS
Title or Position: ADMINISTRATOR
Credential: BS
Phone: 360-734-2330