| Seattle Indian Health Board | |
|
611 12th Ave S Seattle WA 98144-1910 | |
| (206) 324-9360 | |
| (206) 324-8910 |
| Full Name | Seattle Indian Health Board |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 611 12th Ave S, Seattle, Washington |
| Authorized Official Name and Position | Esther Lucero (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2063249360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seattle Indian Health Board 611 12th Ave S Seattle WA 98144-1910 Ph: (206) 324-9360 | Seattle Indian Health Board 611 12th Ave S Seattle WA 98144-1910 Ph: (206) 324-9360 |
| NPI Number | 1154469104 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 04/08/2022 |
| Certification Date | 04/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154469104 | NPI | - | NPPES |
| 1990878 | Medicaid | WA |
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