Active NPI
Community Health Centers of King County
- Federally Qualified Health Center (FQHC)
- Burien, WA
National Provider Identifier
1215012182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- COMMUNITY HEALTH CENTERS OF KING COUNTY
- Practice address
- 457 SW 148TH St Ste 202
Burien, WA 98166-1975 - Phone
- (425) 277-1311
- Fax
- (425) 277-1566
- NPI assigned
- Oct 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vikki Wilkerson
- Title
- Credentialing Coordinator
- Phone
- (425) 277-1311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | WA | Primary |
Addresses
Primary practice location
457 SW 148TH St Ste 202
Burien, WA 98166-1975
Mailing address
955 Powell Ave SW Ste a
Renton, WA 98055-2908
Phone (425) 277-1311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Other | WA | MEDICARE PART A |
Other names 1
- Burien Community Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040206000245 | WA | Part B Supplier - Clinic/Group Practice | 9335042886 |
Receives reassigned benefits from 405 practitioners 24 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Renton, WA; Seatac, WA; Seattle, WA; Tukwila, WA; Bothell, WA; Auburn, WA; Redmond, WA; Burien, WA… |
Other NPIs on the same Medicare enrollment 24
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189728000000",
"number": "1215012182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 POWELL AVE SW STE A",
"city": "RENTON",
"state": "WA",
"postal_code": "980552908",
"telephone_number": "425-277-1311",
"fax_number": "425-277-1566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "457 SW 148TH ST STE 202",
"city": "BURIEN",
"state": "WA",
"postal_code": "981661975",
"telephone_number": "425-277-1311",
"fax_number": "425-277-1566"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY HEALTH CENTERS OF KING COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-26",
"last_updated": "2007-09-14",
"status": "A",
"authorized_official_last_name": "WILKERSON",
"authorized_official_first_name": "VIKKI",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "425-277-1311"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PART A",
"identifier": "PENDING",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Burien Community Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Burien, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.