Healthcare Provider Details

I. General information

NPI: 1215984737
Provider Name (Legal Business Name): SHS SWEDISH HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2006
Last Update Date: 12/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7320 216TH ST SW STE 210
EDMONDS WA
98026-8006
US

IV. Provider business mailing address

PO BOX 84026
SEATTLE WA
98124-8426
US

V. Phone/Fax

Practice location:
  • Phone: 425-744-1777
  • Fax: 425-744-1790
Mailing address:
  • Phone: 206-320-7746
  • Fax: 206-320-5340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KEVIN L BROWN
Title or Position: VICE PRESIDENT
Credential:
Phone: 206-320-3665