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UNITY CARE NORTHWEST NPI 1376013250


NPI Information

NPI: 1376013250
Provider Name: UNITY CARE NORTHWEST
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
6060 PORTAL WAY
FERNDALE, WA
ZIP 98248
Phone: (360) 676-6177
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UNITY CARE NORTHWEST is a federally qualified health center (fqhc) clinic center in Ferndale, WA. UNITY CARE NORTHWEST NPI is 1376013250. The provider is registered as an organization entity type.

The provider's business location address is:

6060 PORTAL WAY
FERNDALE, WA
ZIP 98248-833
Phone: (360) 676-6177
Fax: (360) 671-3574

The provider's authorized official is Jodi Joyce .
The authorized official title is Chief Executive Officer and has the following contact phone number (360) 676-6177.

The enumeration date for this NPI number is 12/4/2018 and was last updated on 9/30/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12127212MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.