ICHS SHORELINE MEDICAL AND DENTAL CLINIC
NPI 1992124747
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 09, 2014

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 23, 2026.

Record update history: Mar 29, 2021, Jan 26, 2021, Jan 23, 2019 (3 updates tracked since 2019).

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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 1992124747) 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 lists Hermes Shahbazian, Cfo, as its authorized official.

NPPES Registry Identity

NPI1992124747

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 · (206) 788-3606

Enumeration DateApril 9, 2014

Last NPPES UpdateMarch 29, 20213 updates tracked since enumeration

NPPES CertifiedMarch 29, 2021

✔ NPI 1992124747 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

License✔ Licensed in WA · 600436519

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedCase ManagementTaxonomy 251B00000X

16549 AURORA AVE N, Shoreline, WA 98133

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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 ›

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)