Healthcare Provider Details

I. General information

NPI: 1790099471
Provider Name (Legal Business Name): SWEDISH HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2010
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 16TH AVE SUITE 400
SEATTLE WA
98122-5699
US

IV. Provider business mailing address

550 16TH AVE SUITE 400
SEATTLE WA
98122-5699
US

V. Phone/Fax

Practice location:
  • Phone: 206-320-2233
  • Fax:
Mailing address:
  • Phone: 206-320-2233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number60163160
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number60163160
License Number StateWA

VIII. Authorized Official

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