Healthcare Provider Details

I. General information

NPI: 1972600401
Provider Name (Legal Business Name): SWEDISH HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2006
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5701 6TH AVE S SUITE 404
SEATTLE WA
98108-2568
US

IV. Provider business mailing address

6100 219TH ST SW SUITE 400
MOUNTLAKE TERRACE WA
98043-2222
US

V. Phone/Fax

Practice location:
  • Phone: 206-386-6602
  • Fax: 206-386-3720
Mailing address:
  • Phone: 425-778-2400
  • Fax: 425-608-8682

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License NumberPF00004846
License Number StateWA

VIII. Authorized Official

Name: DONALD WAYNE ANDERSON JR.
Title or Position: ASSISTANT SECREATRY FOR ENROLLMENT
Credential:
Phone: 425-358-9786