Provider Demographics
NPI:1750612883
Name:KING COUNTY PUBLIC HOSPITAL DISTRICT NO. 2
Entity type:Organization
Organization Name:KING COUNTY PUBLIC HOSPITAL DISTRICT NO. 2
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-899-2606
Mailing Address - Street 1:PO BOX 102928
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91189-2928
Mailing Address - Country:US
Mailing Address - Phone:425-899-3868
Mailing Address - Fax:425-899-3269
Practice Address - Street 1:8980 161ST AVE NE
Practice Address - Street 2:SUITE 400
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-7554
Practice Address - Country:US
Practice Address - Phone:425-899-2273
Practice Address - Fax:425-899-2272
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-01-29
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WACQ2437OtherMEDICARE RAILROAD
WAG217120600Medicare PIN
WAG217120900Medicare PIN
WAGAB03844Medicare PIN
WAG217120500Medicare PIN
WAG217120700Medicare PIN
WAGAB13874Medicare PIN
WAG217120400Medicare PIN
WAG217120800Medicare PIN