Provider Demographics
NPI:1689760126
Name:NORTHWEST WALK-IN HEALTH CENTER
Entity Type:Organization
Organization Name:NORTHWEST WALK-IN HEALTH CENTER
Other - Org Name:WALK IN HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:C
Authorized Official - Last Name:NESS
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:360-734-2330
Mailing Address - Street 1:2220 CORNWALL AVE
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-3719
Mailing Address - Country:US
Mailing Address - Phone:360-734-2330
Mailing Address - Fax:360-733-3783
Practice Address - Street 1:2220 CORNWALL AVE
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-3719
Practice Address - Country:US
Practice Address - Phone:360-734-2330
Practice Address - Fax:360-733-3783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2012-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7125271Medicaid
WADC7634OtherRAILROAD
WA0177442OtherLABOR AND INDUSTRIES
WA3607NOOtherREGENCE
WAG8850550Medicare PIN