CHC OF SNOHOMISH COUNTY 112TH MEDICAL
NPI 1669504395
Clinic/Center - Federally Qualified Health Center (FQHC) in Everett, WA
NPI Status: Active since March 09, 2007
Contact Information
1019 112TH ST SW
EVERETT, WA
ZIP 98204
Phone: (425) 551-6200
Fax: (425) 551-6017
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- Medicare Supplier
- Accepts Medicare Approved Payment
About CHC OF SNOHOMISH COUNTY 112TH MEDICAL
This page provides the complete NPI Profile along with additional information for Chc Of Snohomish County 112th Medical, a primary care provider established in Everett, Washington operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1669504395 assigned on March 2007. The practitioner's primary taxonomy code is 261QF0400X with license number 7034036 (WA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is Chc Of Snohomish County 112th Medical. The authorized official of this NPI record is Mr. Robert C Farrell (Executive Director)
- NPI
- 1669504395
- Provider Legal Name
- COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY
- Other Organization Name
- CHC OF SNOHOMISH COUNTY 112TH MEDICAL
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1019 112TH ST SW EVERETT, WA 98204
- Location Phone
- (425) 551-6200
- Location Fax
- (425) 551-6017
- Mailing Address
- PO BOX 13060 EVERETT, WA 98206
- Mailing Phone
- (425) 789-3700
- Mailing Fax
- (425) 551-6017
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 03-09-2007
- Last Update Date
- 08-12-2011
- Code Navigator
A primary care provider (PCP) like Chc Of Snohomish County 112th Medical sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Chc Of Snohomish County 112th Medical is a medicare supplier with PTAN 34358300 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Nebulizer Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order).
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
- License No.
- 7034036
- License State
- WA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 7034036 (WA) |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7034036 | MEDICAID (05) | WA | |
| 8934243 | OTHER (01) | WA | CRIME VICTIMS COMP |
| 32770 | OTHER (01) | WA | WORKER COMPENSATION |
| 50-1851 | MEDICARE ID-TYPE UNSPECIFIED (04) | WA | MEDICARE FQHC |
| 001260100 | MEDICARE ID-TYPE UNSPECIFIED (04) | WA | MEDICARE PART B |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 34358300
- Accepts Medicare Assignment
- YES
- Specialities List
- Pharmacy.
- Competitive Bidding
- NO
Supplies List
- 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
Reviews for CHC OF SNOHOMISH COUNTY 112TH MEDICAL
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1669504395, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
EVERETT, WA 98204
EVERETT, WA 98204
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669504395, enumerated as an "organization" on March 09, 2007.
The provider is located at 1019 112TH ST SW EVERETT, WA 98204 and the phone number is (425) 551-6200.
Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
