CHC OF SNOHOMISH COUNTY 112TH MEDICAL
NPI 1669504395
Clinic/Center - Federally Qualified Health Center (FQHC) in Everett, WA

Q: What is Community Health Center Of Snohomish County'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 March 09, 2007

1019 112TH ST SW, EVERETT, WA 98204(425) 551-6200(425) 551-6017 Get Directions Write a Review

NPPES record last updated: August 12, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Chc Of Snohomish County 112th Medical NPPES

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

CHC OF SNOHOMISH COUNTY 112TH MEDICAL (NPI 1669504395) is a healthcare organization registered as a federally qualified health center (fqhc) in Everett, Washington and active in the NPI registry since March 2007. The organization lists Robert C Farrell, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1669504395

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameCOMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY

Location Address1019 112TH ST SWEverett, WA 98204

Mailing AddressPo Box 13060Everett, WA 98206-3060 · (425) 789-3700 · Fax (425) 789-3750

Phone(425) 551-6200

Fax(425) 551-6017

Organization SubpartYes

Authorized OfficialRobert C FarrellExecutive Director · (425) 789-3700

Enumeration DateMarch 9, 2007

Last NPPES UpdateAugust 12, 2011

✔ NPI 1669504395 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 · 7034036

Also ListedFamily MedicineTaxonomy 207Q00000X · License 7034036 (WA)

1019 112TH ST SW, Everett, WA 98204

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Other Names 1

Other NameChc Of Snohomish County 112th Medical

Other Identifiers 5

Medicaid7034036WA

Other8934243WA · Crime Victims Comp

Other32770WA · Worker Compensation

Medicare ID-Type Unspecified50-1851WA · Medicare Fqhc

Medicare ID-Type Unspecified001260100WA · Medicare Part B

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Everett South Pharmacy carries, from the Medicare DMEPOS supplier directory.

Everett South Pharmacy

DMEPOS supplier · Everett, WAOperated by Community Health Center Of Snohomish County

✔

Accepts Medicare assignment

Everett South Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)34358300

Medicare Participant SinceJanuary 1, 1998

Supplier Location1019 112th St SWEverett, WA 98204

Phone(425) 551-6530

Supplier Specialties

Pharmacy

Medicare Product Categories

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Blood Glucose Monitors/Supplies (Non-Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

CHC OF SNOHOMISH COUNTY 112TH DENTAL

Dentist