Community Health Center of Snohomish County
Organization Active NPI Federally Qualified Health Center (FQHC) · Everett, WA
NPI 1710709092 · NPPES record last updated Oct 29, 2024
Key facts
- NPI
- 1710709092
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY
- Practice address
- 2416 Colby Avenue
Everett, WA 98201-2914 - Phone
- (425) 789-3700
- NPI assigned
- Oct 29, 2024
- Organization subpart
- Yes
- Parent organization (as reported)
- COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY
Authorized official
- Name
- Joe Vessey
- Title
- Ceo
- Phone
- (425) 789-3700
Owners & managing parties with NPI records 1
-
Gregg Aaron Miller, M.D.
Other NPIs with the same Medicare PAC ID 17
Corporate family (same tax ID) 27
Practitioners 84
-
Amanda Benjelloun, ARNP
-
Erin Bishop, PA-C
-
Eleanor Grace Bly, M.D., M.P.H.
-
Gail Boriel, MBBS
-
Jehan Budak, M.D.
-
Heng-Yu Jonathan CHI, LMHC
-
Ryan Lee Church, PA-C
-
Rachel Eron Clements, PMHNP-BC
-
Jennifer Arpin Davis, RD, CD
-
Sumaira Dawari, PA
-
Nusha Ghassemikia File, PT, DPT, OCS
-
Hanna M Filitovich, PA-C
-
Gia L Frank, NP
-
Clare Ghilarducci, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Federally qualified health center certification: CCN 501069
- Legal name
- COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jul 25, 2025
- Last certification
- Jul 25, 2025
- Ownership / control type
- For profit – corporation
- Organization structure
- Other · Non-profit
- Enrollment address
- 2416 Colby Ave
Everett, WA 98201-2914
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| Dion C Kapetanov |
Corporate Officer |
Jan 24, 2004 | |
| W-2 Managing Employee |
Jan 24, 2004 | ||
| Sylvian T Bull |
Corporate Officer |
Jul 1, 2024 | |
| Joseph E Vessey |
Corporate Officer |
Dec 1, 2019 | |
| Robert Maxwell |
Corporate Officer |
Mar 1, 2020 | |
| Kathy Solberg |
Corporate Officer |
Apr 1, 2024 | |
| Charles Mister |
Corporate Officer |
Mar 1, 2022 | |
| Mike James Shaw |
Corporate Officer |
Apr 1, 2024 | |
| Edward Rogan |
Corporate Officer |
Dec 1, 2016 | |
| Gregg Aaron Miller |
Corporate Officer |
Mar 1, 2022 | |
| Olivia D Mathisen-Holloman |
Corporate Officer |
Feb 1, 2017 | |
| Joel a Emery |
Corporate Officer |
Feb 5, 2024 | |
| W-2 Managing Employee |
Feb 5, 2024 | ||
| Jessica Enick |
Corporate Officer |
Mar 1, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250818004076 | WA | Part a Provider - Federally Qualified Health Center (FQHC) | 0446152003 | Practice locations: Everett, WA |
National Provider Directory
- Tax ID family
- Community Health Center
- Part of
- Community Health Center
Locations
2416 Colby Ave
Everett, WA 98201
Phone (425) 551-1140
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
2416 Colby Avenue
Everett, WA 98201-2914
Mailing address
8609 Evergreen Way
Everett, WA 98208-2619
Phone (425) 789-3700
Other providers in Everett, WA
- Community Health Center of Snohomish County
- Community Health Center of Snohomish County
- Community Health Center of Snohomish County
- Community Health Center of Snohomish County
- Community Health Center of Snohomish County
- Community Health Center of Snohomish County
- Community Health Center of Snohomish County
- Community Health Center of Snohomish County
- Community Health Center of Snohomish County
- Community Medical Services Montana-Private, LLC
All providers in Everett, WA · Federally Qualified Health Center (FQHC) in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.