Provider Demographics
NPI:1629189790
Name:SUMMIT AT FIRST HILL
Entity Type:Organization
Organization Name:SUMMIT AT FIRST HILL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEND
Authorized Official - Suffix:IX
Authorized Official - Credentials:
Authorized Official - Phone:206-652-4444
Mailing Address - Street 1:1200 UNIVERSITY ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-2896
Mailing Address - Country:US
Mailing Address - Phone:206-652-4444
Mailing Address - Fax:206-652-4500
Practice Address - Street 1:1200 UNIVERSITY ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-2896
Practice Address - Country:US
Practice Address - Phone:206-652-4444
Practice Address - Fax:206-652-4500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1435310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA981156Medicaid