Provider Demographics
NPI:1972600401
Name:SWEDISH HEALTH SERVICES
Entity type:Organization
Organization Name:SWEDISH HEALTH SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VP & CFO
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:VEILLEUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-628-2502
Mailing Address - Street 1:6100 219TH ST SW
Mailing Address - Street 2:SUITE 400
Mailing Address - City:MOUNTLAKE TERRACE
Mailing Address - State:WA
Mailing Address - Zip Code:98043-2222
Mailing Address - Country:US
Mailing Address - Phone:425-778-2400
Mailing Address - Fax:425-608-8682
Practice Address - Street 1:5701 6TH AVE S
Practice Address - Street 2:SUITE 404
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-2568
Practice Address - Country:US
Practice Address - Phone:206-386-6602
Practice Address - Fax:206-386-3720
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SWEDISH HEALTH SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-19
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPF00004846251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7330798Medicaid
WA6013726Medicaid
WA9034216Medicaid
WA9034216Medicaid