Healthcare Provider Details

I. General information

NPI: 1285719609
Provider Name (Legal Business Name): KING COUNTY PUBLIC HOSPITAL DISTRICT NO. 2
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 11/06/2024
Certification Date: 11/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12822 124TH LN NE
KIRKLAND WA
98034-7612
US

IV. Provider business mailing address

12040 NE 128TH ST MS #103
KIRKLAND WA
98034-3013
US

V. Phone/Fax

Practice location:
  • Phone: 425-899-3300
  • Fax:
Mailing address:
  • Phone: 425-899-3300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number StateNULL

VIII. Authorized Official

Name: WILLIAM HOWE
Title or Position: CFO
Credential:
Phone: 425-899-2606