Provider Demographics
NPI:1982771135
Name:PHYSICIANS HOSPITAL SERVICES II. PLLC
Entity type:Organization
Organization Name:PHYSICIANS HOSPITAL SERVICES II. PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:WALTER
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-244-8100
Mailing Address - Street 1:PO BOX 48077
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98148-0077
Mailing Address - Country:US
Mailing Address - Phone:206-244-8100
Mailing Address - Fax:206-431-9142
Practice Address - Street 1:12101 AMBAUM BOULEVARD SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98146
Practice Address - Country:US
Practice Address - Phone:206-244-8100
Practice Address - Fax:206-431-9142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2084A0401X284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
S592OtherREGENCE
S592OtherREGENCE
WAAB35541Medicare ID - Type Unspecified