Provider Demographics
NPI:1326002049
Name:UNIVERSITY OF WASHINGTON
Entity Type:Organization
Organization Name:UNIVERSITY OF WASHINGTON
Other - Org Name:UNIVERSITY OF WASHINGTON MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:HECKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-668-2774
Mailing Address - Street 1:PO BOX 24366
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-0366
Mailing Address - Country:US
Mailing Address - Phone:206-598-0502
Mailing Address - Fax:206-598-0516
Practice Address - Street 1:1959 NE PACIFIC ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-0001
Practice Address - Country:US
Practice Address - Phone:206-598-3300
Practice Address - Fax:206-598-0961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-12
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAH-128261QD0000X, 273R00000X, 273Y00000X, 282N00000X, 291U00000X
WAHF000010583336C0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No273R00000XHospital UnitsPsychiatric Unit
No273Y00000XHospital UnitsRehabilitation Unit
No291U00000XLaboratoriesClinical Medical Laboratory
No3336C0002XSuppliersPharmacyClinic Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA4923822OtherNCPDP - UWMC - ROOSEVELT
WA7089113Medicaid
WA0170851OtherL&I CRNA
WA7082704Medicaid
WA7117476Medicaid
WA8940597OtherL&I CRIME VICTIMS CRNA
WA7091846Medicaid
WA9616129Medicaid
WA0025694OtherL&I GENERAL
WA9007352Medicaid
WA4915849OtherNCPDP-UWMC - PACIFIC
WA4906888OtherNCPDP - UWMC-HALL HEALTH
WA7096043Medicaid
WA8852642OtherMEDICARE DENTAL
WA9636606Medicaid
WA9616129Medicaid
WA9007352Medicaid
WA50T008Medicare Oscar/Certification
WA4915849OtherNCPDP-UWMC - PACIFIC
WA500008Medicare Oscar/Certification