Community Health Center of Snohomish County Lynnwood – Federally Qualified Health Center (FQHC), NPI 1013049741

Community Health Center of Snohomish County Lynnwood is a healthcare provider. based in Lynnwood, Washington. specializing in Federally Qualified Health Center (FQHC). The organization holds a License No. 7034036 (WA). The NPI Number for Community Health Center of Snohomish County Lynnwood is 1013049741

Main info

Organization
Name
Community Health Center of Snohomish County Lynnwood
NPI
1013049741
Phone
(425) 835-5200
Address
4111 194TH ST SW STE 100
Authorized Official
MR. KENNETH M GREEN EXECUTIVE DIRECTOR
Enumeration Date
9 March 2007
Last Update Date
22 September 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Community Health Center of Snohomish County Lynnwood

  • 4111 194TH ST SW STE 100

    LYNNWOOD, WA 980364604

    Phone: (425) 835-5200

    Fax: (425) 835-5201

    Type: Location

  • PO BOX 13060

    EVERETT, WA 982063060

    Phone: (425) 789-3700

    Fax: (425) 789-3750

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-11-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20101101000968OFederally Qualified Health Center (Fqhc)WATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98036)

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Reviews

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Frequently asked questions

Can I use this page to confirm Community Health Center of Snohomish County Lynnwood's NPI?
Yes. Community Health Center of Snohomish County Lynnwood is listed with NPI 1013049741 in the public NPI dataset.
Can I rely on Community Health Center of Snohomish County Lynnwood being an active provider?
As of the registry snapshot, Community Health Center of Snohomish County Lynnwood is marked active.
What taxonomy line describes Community Health Center of Snohomish County Lynnwood?
For research purposes, treat Community Health Center of Snohomish County Lynnwood as Federally Qualified Health Center (FQHC) in this dataset. Clinical services aligned with this taxonomy classification.
Where is Community Health Center of Snohomish County Lynnwood based?
Community Health Center of Snohomish County Lynnwood is tied to Lynnwood, Washington in the data we show; additional addresses may exist on the full record.
Is the information about Community Health Center of Snohomish County Lynnwood up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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