Organization Active NPI

Public Hospital District#1 of King County

  • Family Medicine Physician
  • Renton, WA
National Provider Identifier
1760620132
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H-155 Issued in WA
Legal business name
PUBLIC HOSPITAL DISTRICT#1 OF KING COUNTY
Practice address
10555 SE Carr Rd
Ste M
Renton, WA 98055-5820
Phone
(425) 656-4270
Fax
(425) 656-4271
NPI assigned
Jan 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2009

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

Authorized official

Name
Patricia Kyle
Title
Business Development
Phone
(425) 228-3440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X H-155 WA Primary

Addresses

Primary practice location

10555 SE Carr Rd
Ste M
Renton, WA 98055-5820

Mailing address

PO Box 34876
Seattle, WA 98124-1876
Phone (425) 656-5412

Other names 1

  • VMC Urgent Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Valley Medical Center13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

10555 SE Carr Rd
Ste M
Renton, WA 98055
Phone (425) 656-4270

NPI Registry JSON

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1760620132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34876",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241876",
            "telephone_number": "425-656-5412",
            "fax_number": "425-656-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10555 SE CARR RD",
            "address_2": "STE M",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555820",
            "telephone_number": "425-656-4270",
            "fax_number": "425-656-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HOSPITAL DISTRICT#1 OF KING COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "KYLE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "425-228-3440"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "H-155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VMC Urgent Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.