HOLLY PARK MEDICAL & DENTAL CLINIC
NPI 1902983109
Clinic/Center - Federally Qualified Health Center (FQHC) in Seattle, WA

Active since November 01, 2006
3815 S OTHELLO ST, 2ND FLOOR, SEATTLE, WA 98118(206) 788-3500(206) 788-3521 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2021, Mar 29, 2021, Jan 26, 2021 and 1 more (4 updates tracked since 2019).

About Holly Park Medical & Dental Clinic NPPES

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

HOLLY PARK MEDICAL & DENTAL CLINIC (NPI 1902983109) is a healthcare organization registered as a federally qualified health center (fqhc) in Seattle, Washington and active in the NPI registry since November 2006. The organization lists Hermes Shahbazian, Cfo, as its authorized official.

NPPES Registry Identity

NPI1902983109
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameINTERNATIONAL COMMUNITY HEALTH SERVICES
Location Address3815 S OTHELLO ST, 2ND FLOORSeattle, WA 98118-3510
Mailing AddressPo Box 3007Seattle, WA 98114-3007 · (206) 788-3600 · Fax (206) 652-5216
Fax(206) 788-3521
Organization SubpartYes
Authorized OfficialHermes ShahbazianCfo · (206) 788-3618
Enumeration DateNovember 1, 2006
Last NPPES UpdateApril 7, 20214 updates tracked since enumeration
NPPES CertifiedApril 7, 2021
NPI 1902983109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedFamily MedicineTaxonomy 207Q00000X · License 600436519 (WA)
Also ListedCase ManagementTaxonomy 251B00000X
3815 S OTHELLO ST, Seattle, WA 98118

Other Names 1

Other NameHolly Park Medical & Dental Clinic

Other Identifiers 1

Medicaid7125289WA

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

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.

Nurse Practitioner (Family)
3815 S OTHELLO ST
SEATTLE, WA 98118
Nurse Practitioner (Family)
3815 S OTHELLO ST
SEATTLE, WA 98118
Nurse Practitioner (Family)
3815 S OTHELLO ST
SEATTLE, WA 98118
Obstetrics & Gynecology (Obstetrics)
3815 S OTHELLO ST
SEATTLE, WA 98118
Physician Assistant
3815 S OTHELLO ST
SEATTLE, WA 98118
Family Medicine
3815 S OTHELLO ST, 2ND FLOOR
SEATTLE, WA 98118
Nurse Practitioner (Family)
3815 S OTHELLO ST
SEATTLE, WA 98118
Physician Assistant
3815 S OTHELLO ST
SEATTLE, WA 98118

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 International Community Health Services's NPI number?

The NPI number for International Community Health Services is 1902983109. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider is also known as Holly Park Medical & Dental Clinic.

Where is International Community Health Services located?

International Community Health Services is located at 3815 S Othello St 2nd Floor, Seattle, WA 98118. The listed phone number is (206) 788-3500.

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.

What insurance does International Community Health Services accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list International Community Health Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for International Community Health Services was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.