NPIMap

Organization Active NPI

Country Doctor Community Clinic

Doing business as Country Doctor Community Health Centers-Family Planning

  • Non-Surgical Family Planning Clinic/Center
  • Seattle, WA
National Provider Identifier
1952592230
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Surgical Family Planning Clinic/CenterTaxonomy code 261QF0050X
Legal business name
COUNTRY DOCTOR COMMUNITY CLINIC
Doing business as
Country Doctor Community Health Centers-Family Planning
Practice address
500 19TH Ave E
Seattle, WA 98112-4007
Phone
(206) 299-1620
Fax
(206) 299-1622
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Shonnie Evans
Title
Qi Manager
Phone
(206) 299-1984

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X Primary

Addresses

Primary practice location

500 19TH Ave E
Seattle, WA 98112-4007

Mailing address

500 19TH Ave E
Seattle, WA 98112-4007
Phone (206) 299-1620

Other identifiers 1

IdentifierTypeStateIssuer
7900632MedicaidWA

Other names 1

  • Country Doctor Community Health Centers-Family Planning Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Country Doctor Comm Clinic9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1952592230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 19TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124007",
            "telephone_number": "206-299-1620",
            "fax_number": "206-299-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 19TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124007",
            "telephone_number": "206-299-1620",
            "fax_number": "206-299-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY DOCTOR COMMUNITY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "SHONNIE",
        "authorized_official_title_or_position": "QI MANAGER",
        "authorized_official_telephone_number": "206-299-1984"
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7900632",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Doctor Community Health Centers-Family Planning",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.