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NPI Code Detail

MEDICARE: FHCC INC

MEDICARE: FHCC INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1205562600
Entity Type Code : Organization
Provider Name (Legal Business Name) : FHCC INC
Provider Business Mailing Address
First Line : PO BOX 352
Second Line :
City : MERCER ISLAND
State : WA
Zip : 98040-0352
Country : US
Telephone Number : 206-276-0529
Fax Number :
Provider Business Practice Location Address
First Line : 1636 36TH AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98122-3418
Country : US
Telephone Number : 206-276-0529
Fax Number :
Authorized Official
Title or Position : CEO & CO-FOUNDER
Name : MR. PAUL KRISTIAN ENGSKOV
Credential :
Telephone Number : 206-276-0529
Provider Enumeration Date : 07/27/2022
Last Update Date : 07/27/2022

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Directions to “FHCC INC ” Practice Location

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