NPIMap

Organization Active NPI

Community Health Center of Snohomish County

  • Federally Qualified Health Center (FQHC)
  • Everett, WA
National Provider Identifier
1023830346
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY
Practice address
801 E Casino Rd
Everett, WA 98203-6534
Phone
(425) 789-3700
NPI assigned
Oct 28, 2024
Last updated
Oct 7, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joe Vessey
Title
Ceo
Phone
(425) 789-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

801 E Casino Rd
Everett, WA 98203-6534

Mailing address

8609 Evergreen Way
Everett, WA 98208-2619
Phone (425) 789-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250829002857 WA Part A Provider - Federally Qualified Health Center (FQHC) 0446152003 Practice locations: Everett, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023830346. Details of each certification follow.

Federally qualified health center certification: CCN 501071

Legal name
COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 21, 2025
Last certification
Aug 21, 2025
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Enrollment address
801 E Casino Rd
Everett, WA 98203-6534

Other NPIs with the same Medicare PAC ID 17

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 17

National Provider Directory

National Provider Directory
Tax ID family
Community Health Center of Snohomish County29 organizations share this tax ID, including this one
Part of
Community Health Center of Snohomish County

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Locations

1410 Broadway
Everett, WA 98201
Phone (425) 258-1830

4201 Rucker Ave
Ste 1
Everett, WA 98203

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Dion C Kapetanov Individual Corporate OfficerCao Jan 24, 2004
W-2 Managing Employee Jan 24, 2004
Joseph E Vessey Individual Corporate OfficerCeo Dec 1, 2019
Kathy Solberg Individual Corporate OfficerBoard Member Apr 1, 2024
Charles Mister Individual Corporate OfficerBoard Member Sep 1, 2019
Mike James Shaw Individual Corporate OfficerBoard Member Apr 1, 2024
Edward Rogan Individual Corporate OfficerBoard Member Dec 1, 2016
Olivia D Mathisen-Holloman Individual Corporate OfficerBoard Member Feb 1, 2017
Joel a Emery Individual Corporate OfficerCfo Feb 5, 2024
W-2 Managing Employee Feb 5, 2024
Jessica Enick Individual Corporate OfficerBoard Chair Feb 1, 2017

Practitioners & affiliated clinicians

Practitioners 231

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 231

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1023830346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8609 EVERGREEN WAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982082619",
            "telephone_number": "425-789-3700",
            "fax_number": "425-789-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E CASINO RD",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982036534",
            "telephone_number": "425-789-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY",
        "enumeration_date": "2024-10-28",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "VESSEY",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "425-789-3700"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.