City of Lynnwood
Organization Active NPI Prison Health Clinic/Center · Lynwood, WA
NPI 1265679013 · NPPES record last updated May 21, 2025
Key facts
- NPI
- 1265679013
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prison Health Clinic/Center 261QP2400X
- Legal business name
- CITY OF LYNNWOOD
- Practice address
- 19321 44TH Ave W
Lynwood, WA 98036-5664 - Phone
- (425) 670-5648
- Fax
- (425) 771-0122
- NPI assigned
- Jan 15, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. Coleman Langdon
- Title
- Chief of Police
- Phone
- (425) 670-5601
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | |||
| Prison Health Clinic/Center | 261QP2400X | Yes |
Addresses
Primary practice location
19321 44TH Ave W
Lynwood, WA 98036-5664
Mailing address
19321 44TH Ave W
Lynwood, WA 98036-5664
Phone (425) 670-5648
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00773028 | Other | WA | RAILROAD MC |
| 2000883 | Medicaid | WA | |
| 0247411 | Other | WA | L&I/CRIME VICTIMS |
Other names
- Lynnwood Community Justice Center
Other providers in Lynwood, WA
- Hanen Alyasiri
- Robin J Atkinson
- Bembenek Travel Health Washington, PC
- Benjamin Bloom
- Nicole Marie Conlon
- Amy May Derksen
- Evergreen Recovery Centers-Health Services
- Hidayet Taha Karapinar
- Karen S. Keeton
All providers in Lynwood, WA · Prison Health Clinic/Center in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.