NPIMap

Organization Active NPI

Unity Care Northwest

  • Federally Qualified Health Center (FQHC)
  • Bellingham, WA
National Provider Identifier
1417202029
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
602 160 891 Issued in WA
Legal business name
UNITY CARE NORTHWEST
Practice address
1616 Cornwall Ave
Bellingham, WA 98225-4648
Phone
(360) 676-6177
Fax
(360) 671-3574
NPI assigned
Jul 19, 2012
Last updated
Oct 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Authorized official

Name
Bonnie Ross
Title
Chief Executive Officer
Phone
(360) 676-6177

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Federally Qualified Health Center (FQHC) 261QF0400X 602 160 891 WA Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

1616 Cornwall Ave
Bellingham, WA 98225-4648

Mailing address

1616 Cornwall Ave Ste 205
Bellingham, WA 98225-4642
Phone (360) 676-6177

Other names 1

  • Interfaith Community Health Center Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040317000365 WA Part B Supplier - Clinic/Group Practice 7911897699 Receives reassigned benefits from 40 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ferndale, WA; Bellingham, WA
O20121017000517 WA Part A Provider - Federally Qualified Health Center (FQHC) 7911897699 Practice locations: Bellingham, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417202029. Details of each certification follow.

Federally qualified health center certification: CCN 501948

Legal name
UNITY CARE NORTHWEST
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 2, 2012
Last certification
Nov 2, 2012
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 8, 2001 in WA
Enrollment address
1616 Cornwall Ave
Bellingham, WA 98225-4648

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Unity Care Northwest6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1616 Cornwall Ave
Bellingham, WA 98225
Phone (360) 305-3275

1616 Cornwall Ave
Ste 205
Bellingham, WA 98225
Phone (360) 296-7142

6060 Portal Way
Ferndale, WA 98248
Phone (360) 752-7408

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Jodi Joyce Individual Corporate OfficerChief Executive Officer Jan 27, 2020
W-2 Managing EmployeeChief Executive Officer Jan 27, 2020
Operational/Managerial ControlChief Executive Officer Jan 27, 2020
Catherine Strong Individual Corporate DirectorBoard Member Sep 29, 2020
Chelsea Joefield-Cairwyn Individual Corporate DirectorBoard Member Feb 23, 2026
Jonathan King Individual Corporate DirectorBoard Member Feb 23, 2026
Teresa Mansoor Individual Corporate DirectorBoard Member Feb 26, 2024
Cataline Harkelroad Individual Corporate DirectorBoard Member Feb 26, 2024
Bonnie K Ross Individual Corporate OfficerChief Financial Officer Feb 22, 2021
W-2 Managing EmployeeChief Financial Officer Feb 22, 2021
Operational/Managerial ControlChief Financial Officer Feb 22, 2021
Lynda Dougan Individual W-2 Managing EmployeeCompliance Specialist Jan 26, 2009
John Coffey Individual Corporate DirectorBoard Member Feb 28, 2022
Jason Bradley Individual Corporate OfficerChief Operating Officer Jul 28, 2025
W-2 Managing EmployeeAd; Jul 28, 2025
Operational/Managerial ControlChief Operating Officer Jul 28, 2025
Jonathan Charnitski Individual Corporate DirectorBoard Member Feb 23, 2026
Vincent E Foster Individual Corporate DirectorBoard of Directors Feb 25, 2019
Jennifer Moldver Individual Corporate DirectorBoard Member Mar 27, 2017
Christopher Phillips Individual Corporate DirectorBoard Member Feb 24, 2020
Adam Van Ness Individual Corporate Director Feb 1, 2023

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1417202029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 CORNWALL AVE STE 205",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254642",
            "telephone_number": "360-676-6177",
            "fax_number": "360-671-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 CORNWALL AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254648",
            "telephone_number": "360-676-6177",
            "fax_number": "360-671-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY CARE NORTHWEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "360-676-6177"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "WA",
            "license": "602 160 891",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interfaith Community Health Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.