NPIMap

Organization Active NPI

Snohomish Health District

  • Public Health or Welfare Agency
  • Everett, WA
National Provider Identifier
1831304575
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
MD00023980 Issued in WA
Legal business name
SNOHOMISH HEALTH DISTRICT
Practice address
3020 Rucker Ave
Suite 308
Everett, WA 98201-3900
Phone
(425) 339-5215
Fax
(425) 339-5263
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gary M. Goldbaum, MD
Title
Health Officer
Phone
(425) 339-5210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X MD00023980 WA Primary

Addresses

Primary practice location

3020 Rucker Ave
Suite 308
Everett, WA 98201-3900

Mailing address

3020 Rucker Ave
Suite 308
Everett, WA 98201-3900
Phone (425) 339-5215

Other identifiers 1

IdentifierTypeStateIssuer
7408404MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Snohomish Health District8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

3020 Rucker Ave
Ste 308
Everett, WA 98201
Phone (425) 339-5215

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831304575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 RUCKER AVE",
            "address_2": "SUITE 308",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013900",
            "telephone_number": "425-339-5215",
            "fax_number": "425-339-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 RUCKER AVE",
            "address_2": "SUITE 308",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013900",
            "telephone_number": "425-339-5215",
            "fax_number": "425-339-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNOHOMISH HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDBAUM",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "425-339-5210",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WA",
            "license": "MD00023980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7408404",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

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.

Verify at the official NPI Registry.