FRS Facility Detail Report


EVERGREEN HOSPITAL MEDICAL CTR

EPA Registry Id: 110005305231
12040 NE 128TH ST
KIRKLAND, WA 98034


The facility locations displayed
come from the FRS Spatial
Coordinates tables. They are the
best representative locations for
the displayed facilities based on
the accuracy of the collection
method and quality assurance
checks performed against each
location. The North American
Datum of 1983 is used to display
all coordinates.

Environmental Interests

Information System System Facility Name Information System Id/Report Link Environmental Interest Type Data Source Last Updated Date Supplemental Environmental Interests:
EMISSION INVENTORY SYSTEM (EIS)
EVERGREEN HOSPITAL 11141811 AIR MINOR EIS 06/05/2024
WASHINGTON - FACILITY / SITE IDENTIFICATION SYSTEM
EVERGREEN HOSPITAL MEDICAL CTR 77233621
exit EPA
STATE MASTER WA-FSIS
HAZWASTE-CRK000061960
EPCRA
HAZWASTE-WA0000345306
CESQG
HAZWASTE-WA0000345306
SQG
TOXICS-11668
UNDERGROUND STORAGE TANK PROGRAM
WASHINGTON - FACILITY / SITE IDENTIFICATION SYSTEM
SEATTLE CANCER CARE ALLIANCE AT EVERGREE 23717
exit EPA
STATE MASTER WA-FSIS
HAZWASTE-WAH000042102
CESQG
RESOURCE CONSERVATION AND RECOVERY ACT INFORMATION SYSTEM
FRED HUTCHINSON CANCER CENTER AT EVERGREEN HEALTH WAH000042102 VSQG (Y) RCRAINFO

AIR FACILITY SYSTEM
EVERGREEN HEALTHCARE 5303316111 AIR MINOR (OPERATING) AIRS/AFS 01/24/2014
RESOURCE CONSERVATION AND RECOVERY ACT INFORMATION SYSTEM
EVERGREEN HOSPITAL MEDICAL CTR WA0000345306 VSQG (Y) RCRAINFO

ICIS-AIR (AIR)
EVERGREEN HEALTHCARE WAPSC0005303316111 AIR MINOR ICIS 11/18/2014
INTEGRATED COMPLIANCE INFORMATION SYSTEM EVERGREEN HOSPITAL MEDICAL CTR 3600173583 ENFORCEMENT/COMPLIANCE ACTIVITY ICIS 06/24/2016

Additional EPA Reports:  

MyEnvironment  Enforcement and Compliance  Facility Coordinates Viewer  Watershed Report

Standard Industrial Classification Codes (SIC)

Data Source SIC Code Description Primary
WA-FSIS
8051
SKILLED NURSING CARE FACILITIES

AIR
OWNE



AIR
8062
GENERAL MEDICAL AND SURGICAL HOSPITALS

AIRS/AFS
8062
GENERAL MEDICAL AND SURGICAL HOSPITALS

WA-FSIS
8093
SPECIALTY OUTPATIENT FACILITIES, NOT ELSEWHERE CLASSIFIED

WA-FSIS
8062
GENERAL MEDICAL AND SURGICAL HOSPITALS

AIRS/AFS
OWNE



WA-FSIS
8082
HOME HEALTH CARE SERVICES

Facility Codes and Flags

EPA Region: 10
Duns Number: 000000000
Congressional District Number: 01
Legislative District Number: 45
HUC Code/Watershed: 17110012 / LAKE WASHINGTON
US Mexico Border Indicator:
Federal Facility: NO
Tribal Land:

Alternative Names

Alternative Name Source of Data
EVERGREEN HEALTHCARE AIR
EVERGREEN HOSPITAL EIS
SEATTLE CANCER CARE ALLIANCE AT EVERGREE WA-FSIS
SEATTLE CANCER CARE ALLIANCE RCRAINFO

Organizations

Affiliation Type Name DUNS Number Information System Mailing Address
OPERATOR
CLARK COUNTY WATER RECLAMATION DISTRICT
WA-FSIS
View
OWNER
CLARK COUNTY WATER RECLAMATION DISTRICT
WA-FSIS
View
OPERATOR
KING CNTY
WA-FSIS


OWNER
KING COUNTY HOSPITAL DISTRICT #2
RCRAINFO
View
OWNER
FRED HUTCHINSON CANCER CENTER
RCRAINFO
View
OPERATOR
SEATTLE CANCER CARE ALLIANCE
RCRAINFO


OPERATOR
KING CNTY 000000000
WA-FSIS
View
OPERATOR
FRED HUTCHINSON CANCER CENTER
RCRAINFO
View
OWNER
KING CNTY
RCRAINFO
View
OWNER
KING COUNTY PUBLIC HOSPITAL DIST NO 2
RCRAINFO
View
OPERATOR
KING CNTY
WA-FSIS
View
OPERATOR
KING CNTY
RCRAINFO
View

National Industry Classification System Codes (NAICS)

Data Source NAICS Code Description Primary
ICIS 622110 GENERAL MEDICAL AND SURGICAL HOSPITALS.
AIRS/AFS 622110 GENERAL MEDICAL AND SURGICAL HOSPITALS.
RCRAINFO 622110 GENERAL MEDICAL AND SURGICAL HOSPITALS.
WA-FSIS 062211

WA-FSIS 062311

EIS 488119 OTHER AIRPORT OPERATIONS.
RCRAINFO 622310 SPECIALTY (EXCEPT PSYCHIATRIC AND SUBSTANCE ABUSE) HOSPITALS.
AIR 622110 GENERAL MEDICAL AND SURGICAL HOSPITALS.

Facility Mailing Addresses

Affiliation Type Delivery Point City Name State Postal Code Information System
OWNER 5857 E FLAMINGO ROAD LAS VEGAS 89122 WA-FSIS
REGULATORY CONTACT 12040 NE 128TH ST KIRKLAND WA 98034 RCRAINFO
MAILING ADDRESS 12040 NE 128TH ST KIRKLAND WA 98034 WA-FSIS
FACILITY MAILING ADDRESS 12040 NE 128TH ST KIRKLAND WA 98034 RCRAINFO
REGULATORY CONTACT 1100 FAIRVIEW AVE. N. SEATTLE WA 98109 RCRAINFO
OWNER 1100 FAIRVIEW AVE N SEATTLE WA 98109 RCRAINFO
OPERATOR 1100 FAIRVIEW AVE N SEATTLE WA 98109 RCRAINFO
MAILING ADDRESS 12040 NE 128TH ST STE 1600 KIRKLAND WA 98034 WA-FSIS
MAILING ADDRESS 5857 E FLAMINGO ROAD LAS VEGAS 89122 WA-FSIS
OPERATOR 12040 NE 128TH ST KIRKLAND WA 98034 WA-FSIS
REGULATORY CONTACT 825 EASTLAKE AVE E SEATTLE WA 98109 RCRAINFO
FACILITY MAILING ADDRESS 1100 FAIRVIEW AVE. N. SEATTLE WA 98109 RCRAINFO
OPERATOR 8260 W FLAMINGO ROAD LAS VEGAS 89147 WA-FSIS
OWNER 12040 NE 128TH ST KIRKLAND WA 98034 RCRAINFO
OPERATOR 12040 NE 128TH ST KIRKLAND WA 98034 RCRAINFO

Contacts

Affiliation Type Full Name Office Phone Information System Mailing Address
OPERATOR
MR. JEFF HEADRICK
(702) 668-8441
WA-FSIS
View
OWNER
MS. JULIE CHADBURN
(702) 668-8068
WA-FSIS
View
REGULATORY CONTACT
DAVID REED
425-899-1783
RCRAINFO
View
REGULATORY CONTACT
MEGAN BRESSOUD
206-606-2919
RCRAINFO
View
REGULATORY CONTACT
MEGAN BRESSOUD
206-606-2919
RCRAINFO
View

Query executed on: OCT-14-2025