Healthcare Provider Details

I. General information

NPI: 1811063308
Provider Name (Legal Business Name): PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 LIND AVE SW STE 160
RENTON WA
98055-4934
US

IV. Provider business mailing address

3600 LIND AVE SW STE 160
RENTON WA
98055-4934
US

V. Phone/Fax

Practice location:
  • Phone: 425-656-4215
  • Fax: 425-656-5075
Mailing address:
  • Phone: 425-656-4215
  • Fax: 425-656-5075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License NumberH-155
License Number StateWA

VIII. Authorized Official

Name: MICHAEL I BERNSTEIN
Title or Position: CFO
Credential:
Phone: 425-656-5536