Provider Demographics
NPI:1801132428
Name:SEATTLE CHILDREN'S WENATCHEE
Entity type:Organization
Organization Name:SEATTLE CHILDREN'S WENATCHEE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP AND CFO
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEITEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-987-4153
Mailing Address - Street 1:PO BOX 5371
Mailing Address - Street 2:RC-504
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98145-5005
Mailing Address - Country:US
Mailing Address - Phone:206-987-5770
Mailing Address - Fax:
Practice Address - Street 1:526 N CHELAN AVE
Practice Address - Street 2:STE B
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-6696
Practice Address - Country:US
Practice Address - Phone:509-662-9266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SEATTLE CHILDREN'S HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-12-31
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty