Healthcare Provider Details

I. General information

NPI: 1477988509
Provider Name (Legal Business Name): SWEDISH HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2013
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 MADISON ST 3RD FLOOR, STE 03AR34
SEATTLE WA
98104
US

IV. Provider business mailing address

PO BOX 26828
SALT LAKE CITY UT
84126-0828
US

V. Phone/Fax

Practice location:
  • Phone: 206-386-6020
  • Fax: 206-386-6262
Mailing address:
  • Phone: 206-386-6020
  • Fax: 206-386-6262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPHAR.CF.60387637
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHAR.CF.60387637
License Number StateWA

VIII. Authorized Official

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