| NPI | 1902983109 |
|---|---|
| Other Name | HOLLY PARK MEDICAL & DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | HERMES SHAHBAZIAN CFO 206-788-3618 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA 600436519) |
| 251B00000X Case Management | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2021-04-07 |