Community Health Center of Snohomish County
Organization Active NPI Federally Qualified Health Center (FQHC) · Everett, WA
NPI 1023830346 · NPPES record last updated Oct 28, 2024
Key facts
- NPI
- 1023830346
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 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
- Organization subpart
- Yes
- Parent organization (as reported)
- COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY
Authorized official
- Name
- Joe Vessey
- Title
- Ceo
- Phone
- (425) 789-3700
Other NPIs with the same Medicare PAC ID 17
Corporate family (same tax ID) 27
Practitioners 238
-
Amanda Benjelloun, ARNP
-
Erin Bishop, PA-C
-
Eleanor Grace Bly, M.D., M.P.H.
-
Gail Boriel, MBBS
-
Jehan Budak, M.D.
-
Heng-Yu Jonathan CHI, LMHC
-
Ryan Lee Church, PA-C
-
Rachel Eron Clements, PMHNP-BC
-
Jennifer Arpin Davis, RD, CD
-
Sumaira Dawari, PA
-
Nusha Ghassemikia File, PT, DPT, OCS
-
Hanna M Filitovich, PA-C
-
Gia L Frank, NP
-
Clare Ghilarducci, PA-C
-
Mikaela Guimaraes, ARNP
-
Amberly Rae Halbert, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
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
- Other · Non-profit
- Enrollment address
- 801 E Casino Rd
Everett, WA 98203-6534
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Dion C Kapetanov |
Corporate Officer |
Jan 24, 2004 | |
| W-2 Managing Employee | Jan 24, 2004 | ||
| Joseph E Vessey |
Corporate Officer |
Dec 1, 2019 | |
| Kathy Solberg |
Corporate Officer |
Apr 1, 2024 | |
| Charles Mister |
Corporate Officer |
Sep 1, 2019 | |
| Mike James Shaw |
Corporate Officer |
Apr 1, 2024 | |
| Edward Rogan |
Corporate Officer |
Dec 1, 2016 | |
| Olivia D Mathisen-Holloman |
Corporate Officer |
Feb 1, 2017 | |
| Joel a Emery |
Corporate Officer |
Feb 5, 2024 | |
| W-2 Managing Employee | Feb 5, 2024 | ||
| Jessica Enick |
Corporate Officer |
Feb 1, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250829002857 | WA | Part a Provider - Federally Qualified Health Center (FQHC) | 0446152003 | Practice locations: Everett, WA |
National Provider Directory
- Tax ID family
- Community Health Center
- Part of
- Community Health Center
Locations
930 N Broadway
Everett, WA 98201
Phone (425) 317-0300
801 E Casino Rd
Everett, WA 98203
Phone (425) 385-6000
1410 Broadway
Everett, WA 98201
Phone (425) 258-1830
4201 Rucker Ave
Ste 1
Everett, WA 98203
4111 194th St SW
Lynnwood, WA 98036
Phone (425) 835-5200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
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
Other providers in Everett, WA
- Quineshea Collins
- Stephanie M Collins
- Miriam Collord
- Courtney Colwell
- Community Birth Group
- Community Health Center of Snohomish County
- Community Health Center of Snohomish County
- Community Health Center of Snohomish County
- Community Health Center of Snohomish County
- Community Health Center of Snohomish County
All providers in Everett, WA · Federally Qualified Health Center (FQHC) in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.