Healthcare Provider Details

I. General information

NPI: 1578596748
Provider Name (Legal Business Name): HEALTHPOINT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 09/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4424 S 188TH ST BUILDING #900 WEST DOOR
SEATAC WA
98188-5028
US

IV. Provider business mailing address

955 POWELL AVE SW
RENTON WA
98057-2908
US

V. Phone/Fax

Practice location:
  • Phone: 206-444-7746
  • Fax: 206-444-7748
Mailing address:
  • Phone: 425-277-3111
  • Fax: 425-277-1566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: MARGARET PENNETTI
Title or Position: CREDENTIALING COORDINATOR
Credential:
Phone: 425-203-0469