NPIMap

Organization Active NPI

Kaiser Foundation Health Plan of Washington

  • Multi-Specialty Clinic/Center
  • Marysville, WA
National Provider Identifier
1104599232
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
Practice address
2335 172ND St NE
Marysville, WA 98271-4753
Phone
(360) 651-1550
Fax
(360) 651-1560
NPI assigned
Jul 26, 2021
Organization subpart
Yes
Parent organization
KAISER FOUNDATION HEALTH PLAN OF WASHINGTONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Authorized official

Name
Michelle M Barlow
Title
Manager
Phone
(509) 241-7343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2335 172ND St NE
Marysville, WA 98271-4753

Mailing address

PO Box 34584
Seattle, WA 98124-1584
Phone (509) 241-7349

Other names 1

  • Smokey Point Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hear Center Olympia85 organizations share this tax ID, including this one
Part of
Hear Center Olympia

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

Locations

2335 172nd St NE
Marysville, WA 98271
Phone (360) 651-1550

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1104599232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34584",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241584",
            "telephone_number": "509-241-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 172ND ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982714753",
            "telephone_number": "360-651-1550",
            "fax_number": "360-651-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HEALTH PLAN OF WASHINGTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KAISER FOUNDATION HEALTH PLAN OF WASHINGTON",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "BARLOW",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "509-241-7343"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smokey Point Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.