Healthcare Provider Details
I. General information
NPI: 1144703885
Provider Name (Legal Business Name): HEALTHPOINT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/10/2018
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
219 STATE AVE N STE 100
KENT WA
98030
US
IV. Provider business mailing address
955 POWELL AVE SW
RENTON WA
98057-2908
US
V. Phone/Fax
- Phone: 253-372-3602
- Fax:
- Phone: 425-277-1311
- Fax: 425-277-1566
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QF0400X |
| Taxonomy | Federally Qualified Health Center (FQHC) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRITTANY
AYDELOTT
Title or Position: ENROLLMENT SPECIALIST
Credential:
Phone: 425-424-6329