Provider Demographics
NPI:1134496938
Name:SWEDISH HEALTH SERVICES
Entity type:Organization
Organization Name:SWEDISH HEALTH SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT SECREATRY FOR ENROLLMENT
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:425-358-9786
Mailing Address - Street 1:500 17TH AVE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-5711
Mailing Address - Country:US
Mailing Address - Phone:206-386-4744
Mailing Address - Fax:
Practice Address - Street 1:550 17TH AVE
Practice Address - Street 2:STE A20
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-5799
Practice Address - Country:US
Practice Address - Phone:206-386-4744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SWEDISH HEALTH SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-11-22
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
259680261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA500025Medicare Oscar/Certification