Provider Demographics
NPI:1801986070
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 1:12039 NE 128TH ST
Practice Address - Street 2:STE 300
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-3030
Practice Address - Country:US
Practice Address - Phone:425-899-3123
Practice Address - Fax:425-899-3114
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-16
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMMGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WACJ9678OtherMEDICARE RAILROAD
WACG2833OtherMEDICARE RAILROAD
WA7121395Medicaid
WACG8137OtherMEDICARE RAILROAD
WACQ2437OtherMEDICARE RAILROAD
WACJ9678OtherMEDICARE RAILROAD