VMC FAIRWOOD PRIMARY CARE
NPI 1649227380
Family Medicine - Adult Medicine in Renton, WA

Active since May 28, 2006
14410 SE PETROVITSKY RD, SUITE 104, RENTON, WA 98058(425) 656-4242 Get Directions Write a Review

NPPES record last updated: January 15, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vmc Fairwood Primary Care NPPES

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

VMC FAIRWOOD PRIMARY CARE (NPI 1649227380) is a healthcare organization registered as an adult medicine in Renton, Washington and active in the NPI registry since May 2006. The organization lists Melissa Farley, Technical Coordinator, as its authorized official.

NPPES Registry Identity

NPI1649227380
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NamePUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY
Location Address14410 SE PETROVITSKY RD, SUITE 104Renton, WA 98058-8900
Mailing Address3600 Lind Ave Sw, Suite 100Renton, WA 98055-4934 · (425) 656-5412 · Fax (425) 656-5423
Organization SubpartNo
Authorized OfficialMelissa FarleyTechnical Coordinator · (425) 917-6282
Enumeration DateMay 28, 2006
Last NPPES UpdateJanuary 15, 2008
NPI 1649227380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
14410 SE PETROVITSKY RD, Renton, WA 98058

Other Names 1

Doing Business AsVmc Fairwood Primary Care

Other Identifiers 2

Medicare PINGAB36071WA
Medicaid7095839WA

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

Other Providers at the Same Location NPPES 11

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

Massage Therapist
14410 SE PETROVITSKY RD, SUITE 209
RENTON, WA 98058
Internal Medicine
14410 SE PETROVITSKY RD, STE 104
RENTON, WA 98058
Family Medicine
14410 SE PETROVITSKY RD, STE 104
RENTON, WA 98058
Physical Therapist
14410 SE PETROVITSKY RD, STE. 202
RENTON, WA 98058
Physical Therapist
14410 SE PETROVITSKY RD, STE 202
RENTON, WA 98058
Chiropractor
14410 SE PETROVITSKY RD, STE 109
RENTON, WA 98058
Obstetrics & Gynecology (Gynecology)
14410 SE PETROVITSKY RD, STE 104
RENTON, WA 98058
Massage Therapist
14410 SE PETROVITSKY RD, SUITE109
RENTON, WA 98058

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Public Hospital District #1 Of King County's NPI number?

The NPI number for Public Hospital District #1 Of King County is 1649227380. It was assigned to this organization in the NPPES registry on May 28, 2006. The provider is doing business as Vmc Fairwood Primary Care.

Where is Public Hospital District #1 Of King County located?

Public Hospital District #1 Of King County is located at 14410 SE Petrovitsky Rd Suite 104, Renton, WA 98058. The listed phone number is (425) 656-4242.

What is Public Hospital District #1 Of King County's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Public Hospital District #1 Of King County was last updated on January 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.