Provider Demographics
NPI:1134996721
Name:CONNECT PRIMARY CARE LLC
Entity type:Organization
Organization Name:CONNECT PRIMARY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:MAUREEN
Authorized Official - Last Name:CHANEY
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:425-346-5982
Mailing Address - Street 1:3500 188TH ST SW STE 250
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-4757
Mailing Address - Country:US
Mailing Address - Phone:425-657-3362
Mailing Address - Fax:425-616-1530
Practice Address - Street 1:3500 188TH ST SW STE 250
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-4757
Practice Address - Country:US
Practice Address - Phone:425-657-3362
Practice Address - Fax:425-616-1530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty