Provider Demographics
NPI:1558649871
Name:ROBYNHOOD MEDICAL CENTER
Entity Type:Organization
Organization Name:ROBYNHOOD MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOFFEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-707-7902
Mailing Address - Street 1:735 S BURLINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98233-2211
Mailing Address - Country:US
Mailing Address - Phone:360-707-7902
Mailing Address - Fax:460-899-5916
Practice Address - Street 1:735 S BURLINGTON BLVD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98233-2211
Practice Address - Country:US
Practice Address - Phone:360-707-7902
Practice Address - Fax:460-899-5916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-03
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP39003913261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center