NPI 1699040857

Amerigroup Washington, INC.

Organisation Health Maintenance Organization Seattle, WA

Practice location

Address: 705 5th Avenue South Suite 300, Seattle, WA 98104
Phone: (206) 674-4462

Authorised official

Name: Daryl Edmonds
Title: President
Phone: (206) 674-4462

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 500653 (WA)

Other Health Maintenance Organization providers in Washington →

Registry record

NPI: 1699040857
Entity type: Organization
NPI issued: 20 Mar 2012
Record last updated: 7 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.