Active NPI
Public Hospital District #1 of King County
- Obstetrics & Gynecology Physician
- Renton, WA
National Provider Identifier
1497795074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY
- Practice address
- 17722 Talbot Rd S
Renton, WA 98055-5744 - Phone
- (425) 228-0722
- Fax
- (425) 271-2566
- NPI assigned
- Jun 8, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Melissa Farley, CPC
- Title
- Technical Coordinator
- Phone
- (425) 917-6282
Corporate family (same tax ID) 12
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National Provider Directory
National Provider Directory- Tax ID family
- Valley Medical Center
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
17722 Talbot Rd S
Renton, WA 98055-5744
Mailing address
3600 Lind Ave SW
Suite 100
Renton, WA 98055-4934
Phone (425) 656-5412
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7071012 | Medicaid | WA |
Other names 1
NPPES NPI Registry- VMC Valley Women's Clinic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1497795074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 LIND AVE SW",
"address_2": "SUITE 100",
"city": "RENTON",
"state": "WA",
"postal_code": "980554934",
"telephone_number": "425-656-5412",
"fax_number": "425-656-5423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17722 TALBOT RD S",
"city": "RENTON",
"state": "WA",
"postal_code": "980555744",
"telephone_number": "425-228-0722",
"fax_number": "425-271-2566"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FARLEY",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "TECHNICAL COORDINATOR",
"authorized_official_telephone_number": "425-917-6282",
"authorized_official_credential": "CPC"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7071012",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "VMC Valley Women's Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Renton, WA
- Public Hospital District #1 of King County
- Public Hospital District #1 of King County
- Public Hospital District #1 of King County
- Public Hospital District #1 of King County
- Public Hospital District #1 of King County
- Public Hospital District #1 of King County
- Public Hospital District #1 of King County
- Public Hospital District #1 of King County
- Public Hospital District #1 of King County
- Public Hospital District #1 of King County
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.