NPIMap

Organization Active NPI

Healthpoint

Doing business as HEALTHPOINT Kent Valley Cities

  • Federally Qualified Health Center (FQHC)
  • Kent, WA
National Provider Identifier
1811239544
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
600461511 Issued in WA
Legal business name
HEALTHPOINT
Doing business as
HEALTHPOINT Kent Valley Cities
Practice address
325 W Gowe St
Kent, WA 98032-5892
Phone
(253) 639-7865
Fax
(253) 850-5955
NPI assigned
Mar 20, 2013
Last updated
Aug 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Authorized official

Name
Duane Nakamura
Title
Credentialing Analyst
Phone
(425) 277-1311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 600461511 WA Primary

Addresses

Primary practice location

325 W Gowe St
Kent, WA 98032-5892

Mailing address

955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311

Other names 1

  • HEALTHPOINT Kent Valley Cities Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040206000245 WA Part B Supplier - Clinic/Group Practice 9335042886 Receives reassigned benefits from 405 practitioners
24 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Renton, WA; Seatac, WA; Seattle, WA; Tukwila, WA; Bothell, WA; Auburn, WA; Redmond, WA; Burien, WA…

Other NPIs on the same Medicare enrollment 24

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 24

National Provider Directory

National Provider Directory

Locations

200 S 2nd St
Renton, WA 98057
Phone (425) 226-5536

Practitioners & affiliated clinicians

Practitioners 22

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 22

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1811239544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311",
            "fax_number": "425-277-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W GOWE ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325892",
            "telephone_number": "253-639-7865",
            "fax_number": "253-850-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHPOINT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "NAKAMURA",
        "authorized_official_first_name": "DUANE",
        "authorized_official_title_or_position": "CREDENTIALING ANALYST",
        "authorized_official_telephone_number": "425-277-1311"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "WA",
            "license": "600461511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTHPOINT Kent Valley Cities",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.