NPIMap

Organization Active NPI

Community Health Center of Snohomish County

  • Federally Qualified Health Center (FQHC)
  • Edmonds, WA
National Provider Identifier
1497577670
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY
Practice address
8215 236TH St SW
Edmonds, WA 98026-5070
Phone
(425) 789-3700
NPI assigned
Oct 29, 2024
Organization subpart
Yes
Parent organization
COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTYAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Joe Vessey
Title
Ceo
Phone
(425) 789-3700

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs with the same Medicare PAC ID 17

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

Corporate family (same tax ID) 27

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

View all 27

Practitioners 84

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 84

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Federally qualified health center certification: CCN 501075

Medicare enrollment files
Legal name
COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 17, 2025
Last certification
Nov 17, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
8215 236TH St SW
Edmonds, WA 98026-5070

All disclosed owners & managing parties 12

Medicare enrollment files

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

NameRoleSinceShare
Dion C Kapetanov Individual Corporate OfficerCao Jan 24, 2004
W-2 Managing EmployeeCao Jan 24, 2004
Sylvian T Bull Individual Corporate DirectorBoard Member Jul 1, 2024
Joseph E Vessey Individual Corporate OfficerCeo Dec 1, 2019
Robert Maxwell Individual Corporate DirectorBoard Member Mar 1, 2020
Kathy Solberg Individual Corporate Director Apr 1, 2024
Charles Mister Individual Corporate DirectorBoard Member Sep 1, 2019
Mike James Shaw Individual Corporate DirectorBoard Member Apr 1, 2024
Edward Rogan Individual Corporate DirectorBoard Member Dec 1, 2016
Gregg Aaron Miller Individual Corporate DirectorBoard Member Mar 1, 2022
Olivia D Mathisen-Holloman Individual Corporate DirectorBoard Member Feb 1, 2017
Joel a Emery Individual Corporate OfficerCfo Feb 5, 2024
W-2 Managing EmployeeCfo Feb 5, 2024
Jessica Enick Individual Corporate DirectorBoard Chair Mar 1, 2020

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20250812000824 WA Part a Provider - Federally Qualified Health Center (FQHC) 0446152003 Practice locations: Edmonds, WA

National Provider Directory

National Provider Directory
Tax ID family
Community Health Center (28 organizations share this tax ID)
Part of
Community Health Center

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

NPPES NPI Registry

Primary practice location

8215 236TH St SW
Edmonds, WA 98026-5070

Mailing address

8609 Evergreen Way
Everett, WA 98208-2619
Phone (425) 789-3700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 17, 2025.

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1497577670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8609 EVERGREEN WAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982082619",
            "telephone_number": "425-789-3700",
            "fax_number": "425-789-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8215 236TH ST SW",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980265070",
            "telephone_number": "425-789-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY",
        "enumeration_date": "2024-10-29",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "VESSEY",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "425-789-3700"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

Verify at the official NPI Registry.