Provider Demographics
NPI:1053359729
Name:HARBORVIEW MEDICAL CENTER
Entity type:Organization
Organization Name:HARBORVIEW MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. DIRECTOR REVENUE INTEGRITY
Authorized Official - Prefix:MS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWILKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-597-9205
Mailing Address - Street 1:PO BOX 34001
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-1001
Mailing Address - Country:US
Mailing Address - Phone:206-598-0678
Mailing Address - Fax:206-598-6346
Practice Address - Street 1:325 9TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104
Practice Address - Country:US
Practice Address - Phone:206-598-0678
Practice Address - Fax:206-598-6346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAH-029261QS0112X, 273R00000X, 273Y00000X, 282N00000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery
No273R00000XHospital UnitsPsychiatric Unit
No273Y00000XHospital UnitsRehabilitation Unit
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1993385Medicaid
WA7111651Medicaid
WA7407794Medicaid
TX072934502Medicaid
WA7600331Medicaid
WA7106883Medicaid
TX072934503Medicaid
WA7111644Medicaid
WA3100062Medicaid
WA7406515Medicaid
WA9637653Medicaid
WA3018298Medicaid
WA7111677Medicaid
WA7117468Medicaid
WA7407810Medicaid
WA9627225Medicaid
WA000141800Medicare PIN
WA9627225Medicaid
WA50S064Medicare Oscar/Certification
WAAB38187Medicare PIN