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NPI Code Detail

MEDICARE: COLUMBIA LUTHERAN MINISTRIES

MEDICARE: COLUMBIA LUTHERAN MINISTRIES
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
1314000000XSkilled Nursing FacilityNH48WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2578OTHERWAPREMERA BLUE CROSS

General Provider Information

NPI Number : 1972508141
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLUMBIA LUTHERAN MINISTRIES
Provider Business Mailing Address
First Line : 4700 PHINNEY AVE N
Second Line :
City : SEATTLE
State : WA
Zip : 98103-6374
Country : US
Telephone Number : 206-632-7400
Fax Number : 206-633-0589
Provider Business Practice Location Address
First Line : 4700 PHINNEY AVE N
Second Line :
City : SEATTLE
State : WA
Zip : 98103-6374
Country : US
Telephone Number : 206-632-7400
Fax Number : 206-633-0589
Authorized Official
Title or Position : VICE-PRESIDENT OF FINANCE
Name : DAVID HEYER
Credential :
Telephone Number : 206-632-7400
Provider Enumeration Date : 06/15/2005
Last Update Date : 08/17/2007

Similar Medicare Providers

1821293705 — KRISTINA J KILIAN MSPT
Practice Location Address:
4700 PHINNEY AVE N
SEATTLE, WA
98103-6374
Practice Phone: 206-632-7400
Practice Fax:
1629372255 — CAITLIN BALDWIN CF-SLP
Practice Location Address:
4700 PHINNEY AVE N
SEATTLE, WA
98103-6374
Practice Phone: 206-632-7400
Practice Fax:
1477986958 — NATHAN PAUL KENNEL D.P.T.
Practice Location Address:
4700 PHINNEY AVE N
SEATTLE, WA
98103-6374
Practice Phone: 206-632-7400
Practice Fax:
1609287978 — TABITHA MARIE BROWN O.T.
Practice Location Address:
4700 PHINNEY AVE N
SEATTLE, WA
98103-6374
Practice Phone: 206-632-7400
Practice Fax:
1316498959 — JAMES KIM
Practice Location Address:
4700 PHINNEY AVE N
SEATTLE, WA
98103-6374
Practice Phone: 206-632-7400
Practice Fax:
1407363658 — RYAN JOSEPH OLIVEIRA
Practice Location Address:
4700 PHINNEY AVE N
SEATTLE, WA
98103-6374
Practice Phone: 321-431-2986
Practice Fax:

Directions to “COLUMBIA LUTHERAN MINISTRIES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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