ICHS SHORELINE MEDICAL AND DENTAL CLINIC
NPI 1275951295
Clinic/Center - Federally Qualified Health Center (FQHC) in Shoreline, WA

Q: What is International Community Health Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since April 07, 2014CLIA 50D2178672 · Microscopy

16549 AURORA AVE N, SHORELINE, WA 98133(206) 533-2600(206) 533-2641 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 29, 2021, Jan 26, 2021 (2 updates tracked since 2021).

On this page

About Ichs Shoreline Medical And Dental Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ICHS SHORELINE MEDICAL AND DENTAL CLINIC (NPI 1275951295) is a healthcare organization registered as a federally qualified health center (fqhc) in Shoreline, Washington and active in the NPI registry since April 2014. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Hermes Shahbazian, Cfo, as its authorized official.

NPPES Registry Identity

NPI1275951295

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameINTERNATIONAL COMMUNITY HEALTH SERVICES

Location Address16549 AURORA AVE NShoreline, WA 98133-5308

Mailing AddressPo Box 3007Seattle, WA 98114-3007 · (206) 788-3700 · Fax (206) 788-3706

Phone(206) 533-2600

Fax(206) 533-2641

Organization SubpartYesParent: 600436519

Authorized OfficialHermes ShahbazianCfo · (200) 788-3618

Enumeration DateApril 7, 2014

Last NPPES UpdateMarch 29, 20212 updates tracked since enumeration

NPPES CertifiedMarch 29, 2021

✔ NPI 1275951295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

License✔ Licensed in WA · 600436519

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 600436519 (WA)

16549 AURORA AVE N, Shoreline, WA 98133

Open in Google Maps ↗

Other Names 1

Other NameIchs Shoreline Medical And Dental Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D2178672

Ichs Shoreline Medical And Dental Clinic · Shoreline, WA

Active · expires Apr 4, 2028

CLIA Number50D2178672

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateOctober 28, 2020

Certificate Expiration DateApril 4, 2028

Laboratory DirectorKimo Hirayama

Laboratory Phone(206) 533-2600

Laboratory LocationIchs Shoreline Medical And Dental Clinic16549 Aurora Ave N, Shoreline, WA 98133

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Leave this field empty

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANICE LIN

Nurse Practitioner (Family)