Provider Demographics
NPI:1780862466
Name:NORTHWEST HOSPITAL INPATIENT SERVICES TR
Entity Type:Organization
Organization Name:NORTHWEST HOSPITAL INPATIENT SERVICES TR
Other - Org Name:NORTHWEST HOSPITAL INPATIENT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNURMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-368-5974
Mailing Address - Street 1:1550 N 115TH ST
Mailing Address - Street 2:MS D149B
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-8401
Mailing Address - Country:US
Mailing Address - Phone:206-368-1849
Mailing Address - Fax:206-368-1503
Practice Address - Street 1:1550 N 115TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-8401
Practice Address - Country:US
Practice Address - Phone:206-368-1500
Practice Address - Fax:206-368-1503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty