ICHS SHORELINE MEDICAL AND DENTAL CLINIC
NPI 1275951295
Clinic/Center - Federally Qualified Health Center (FQHC) in Shoreline, WA
NPI Status: Active since April 07, 2014
Contact Information
16549 AURORA AVE N
SHORELINE, WA
ZIP 98133
Phone: (206) 533-2600
Fax: (206) 533-2641
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- Accepts Insurance
About ICHS SHORELINE MEDICAL AND DENTAL CLINIC
This page provides the complete NPI Profile along with additional information for Ichs Shoreline Medical And Dental Clinic, a primary care provider established in Shoreline, Washington operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1275951295 assigned on April 2014. The practitioner's primary taxonomy code is 261QF0400X with license number 600436519 (WA). The provider is registered as an organization and their NPI record was last updated 4 years ago. Ichs Shoreline Medical And Dental Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Ichs Shoreline Medical And Dental Clinic. The authorized official of this NPI record is Hermes Shahbazian (Cfo)
- NPI
- 1275951295
- Provider Legal Name
- INTERNATIONAL COMMUNITY HEALTH SERVICES
- Other Organization Name
- ICHS SHORELINE MEDICAL AND DENTAL CLINIC
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 16549 AURORA AVE N SHORELINE, WA 98133
- Location Phone
- (206) 533-2600
- Location Fax
- (206) 533-2641
- Mailing Address
- PO BOX 3007 SEATTLE, WA 98114
- Mailing Phone
- (206) 788-3700
- Mailing Fax
- (206) 533-2641
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-07-2014
- Last Update Date
- 03-29-2021
- Code Navigator
A primary care provider (PCP) like Ichs Shoreline Medical And Dental Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
- License No.
- 600436519
- License State
- WA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1223G0001X | Dental Providers | Dentist | 600436519 (WA) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for ICHS SHORELINE MEDICAL AND DENTAL CLINIC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 7 | 5 | 9 | 5 | 1 | 2 | 9 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 18 | 5 | 2 | 2 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 8 + 5 + 2 + 2 + 1 + 8 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1275951295 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1801299227 | INTERNATIONAL COMMUNITY HEALTH SERVICES Organization | Dentist (General Practice) | 16549 AURORA AVE N SHORELINE, WA 98133 (206) 533-2600 |
| 1922401124 | MONICA YU Individual | Dentist (General Practice) | 16549 AURORA AVE N SHORELINE, WA 98133 (206) 533-2600 |
| 1780056432 | HONG CHANG Individual | Dental Hygienist | 16549 AURORA AVE N SHORELINE, WA 98133 (206) 788-3683 |
| 1215482401 | DAWN MARIE CARMELITA ESCARCEGA MSW Individual | Social Worker | 16549 AURORA AVE N SHORELINE, WA 98133 (206) 533-2600 |
| 1679760672 | JOANNE S LAM MSW Individual | Social Worker (Clinical) | 16549 AURORA AVE N SHORELINE, WA 98133 (206) 533-2600 |
| 1386178192 | STEPHANIE ANN VAN CLEAVE RN Individual | Registered Nurse | 16549 AURORA AVE N SHORELINE, WA 98133 (206) 533-2600 |
| 1730655358 | MARYKNOLL P HUNTER RDH Individual | Dental Hygienist | 16549 AURORA AVE N SHORELINE, WA 98133 (206) 533-2600 |
| 1740661735 | EMILY BROTHERS RN Individual | Registered Nurse (General Practice) | 16549 AURORA AVE N SHORELINE, WA 98133 (206) 533-2600 |
| 1760831390 | WILLIAM HOSKYN ARNP Individual | Nurse Practitioner (Family) | 16549 AURORA AVE N SHORELINE, WA 98133 (206) 533-2600 |
| 1154824100 | DR. PENELOPE PHUONG MINH RUOFF DMD Individual | Dentist | 16549 AURORA AVE N SHORELINE, WA 98133 (206) 533-2600 |
| 1659862043 | DR. ERIN CHRISTINE OLANREWAJU DNP, FNP-BC, ARNP Individual | Nurse Practitioner (Family) | 16549 AURORA AVE N SHORELINE, WA 98133 (206) 533-2799 |
| 1215563549 | LISA JOHNSON RDH, MPH Individual | Dental Hygienist | 16549 AURORA AVE N SHORELINE, WA 98133 (206) 533-2660 |
| 1508490681 | EMILY PETERSON BIDDULPH ARNP Individual | Nurse Practitioner (Family) | 16549 AURORA AVE N SHORELINE, WA 98133 (206) 533-2600 |
| 1427069160 | DR. PAUL C COSTELLO MD Individual | Family Medicine | 16549 AURORA AVE N SHORELINE, WA 98133 (206) 533-2600 |
| 1376942227 | MEGAN WILBERT Individual | Nurse Practitioner (Family) | 16549 AURORA AVE N SHORELINE, WA 98133 (206) 533-2600 |
| 1518322569 | INTERNATIONAL COMMUNITY HEALTH SERVICES Organization | Pharmacy (Clinic Pharmacy) | 16549 AURORA AVE N SHORELINE, WA 98133 (206) 533-2720 |
| 1992124747 | INTERNATIONAL COMMUNITY HEALTH SERVICES Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 16549 AURORA AVE N SHORELINE, WA 98133 (206) 533-2600 |
| 1841555075 | ATALAYA OMBATI NP Individual | Nurse Practitioner (Family) | 16549 AURORA AVE N SHORELINE, WA 98133 (206) 533-2600 |
| 1467127191 | MICHELLE TRAN Individual | Nurse Practitioner (Family) | 16549 AURORA AVE N SHORELINE, WA 98133 (206) 533-2600 |
| 1467746826 | JENNIFER LYNN CHUNG M.D. Individual | Family Medicine | 16549 AURORA AVE N SHORELINE, WA 98133 (206) 533-2660 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275951295, enumerated in the NPI registry as an "organization" on April 07, 2014
The provider is located at 16549 Aurora Ave N Shoreline, Wa 98133 and the phone number is (206) 533-2600
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on April 07, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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