| NPI | 1376659151 |
|---|---|
| Former Legal Business Name | INTERNATIONAL DISTRICT COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | HERMES SHAHBAZIAN CFO 206-788-3618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 103T00000X Psychologist |
| 122300000X Dentist | |
| 152W00000X Optometrist | |
| 171100000X Acupuncturist | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 213ES0131X Podiatrist, Foot Surgery | |
| 251B00000X Case Management | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2021-03-29 |