NPIMap

Organization Active NPI

Unity Care Northwest

  • Federally Qualified Health Center (FQHC)
  • Bellingham, WA
National Provider Identifier
1760430532
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
UNITY CARE NORTHWEST
Practice address
220 Unity St
Bellingham, WA 98225-4429
Phone
(360) 676-6177
Fax
(360) 671-3574
NPI assigned
May 4, 2006
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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Community/Behavioral Health Agency 251S00000X 602160891 000UBI WA
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

220 Unity St
Bellingham, WA 98225-4429

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
Practice locations: Ferndale, WA; Bellingham, WA
O20041130000448 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 1760430532. Details of each certification follow.

Federally qualified health center certification: CCN 501887

Legal name
UNITY CARE NORTHWEST
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 28, 2005
Last certification
Jan 28, 2005
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Nov 8, 2001 in WA
Enrollment address
220 Unity St
Bellingham, WA 98225-4420

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.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D0634192Unity Care Northwest220 Unity St, Bellingham, WA 98225Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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
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 DirectorBoard Member Feb 1, 2023

Practitioners & affiliated clinicians

Practitioners 47

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.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1760430532",
    "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": "220 UNITY ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254429",
            "telephone_number": "360-676-6177",
            "fax_number": "360-671-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY CARE NORTHWEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "602160891 000UBI",
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "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.