Provider Demographics
NPI: | 1053368571 |
---|---|
Name: | SWEDISH HEALTH SERVICES |
Entity type: | Organization |
Organization Name: | SWEDISH HEALTH SERVICES |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | VICE PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | KEVIN |
Authorized Official - Middle Name: | L |
Authorized Official - Last Name: | BROWN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 206-320-3665 |
Mailing Address - Street 1: | PO BOX 84026 |
Mailing Address - Street 2: | |
Mailing Address - City: | SEATTLE |
Mailing Address - State: | WA |
Mailing Address - Zip Code: | 98124-8426 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 206-320-4476 |
Mailing Address - Fax: | 206-320-5340 |
Practice Address - Street 1: | 1221 MADISON ST |
Practice Address - Street 2: | STE 1411 |
Practice Address - City: | SEATTLE |
Practice Address - State: | WA |
Practice Address - Zip Code: | 98104-3588 |
Practice Address - Country: | US |
Practice Address - Phone: | 206-386-6700 |
Practice Address - Fax: | 206-386-6706 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-05-29 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
WA | 208600000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 208600000X | Allopathic & Osteopathic Physicians | Surgery | Group - Single Specialty |