Aids Healthcare Foundation | |
1016 E Pike St Ste 200 Seattle WA 98122-3847 | |
(206) 302-2020 | |
(206) 302-2021 |
Full Name | Aids Healthcare Foundation |
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Speciality | Clinic/Center |
Location | 1016 E Pike St Ste 200, Seattle, Washington |
Authorized Official Name and Position | Lyle Honig Mojica (CFO) |
Authorized Official Contact | 3238605305 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Aids Healthcare Foundation 6255 W Sunset Blvd Fl 21 Los Angeles CA 90028-7422 Ph: (323) 860-5200 | Aids Healthcare Foundation 1016 E Pike St Ste 200 Seattle WA 98122-3847 Ph: (206) 302-2020 |
NPI Number | 1265810980 |
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Provider Enumeration Date | 05/14/2015 |
Last Update Date | 01/08/2025 |
Medicare PECOS PAC ID | 2668369109 |
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Medicare Enrollment ID | O20150825002943 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265810980 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Lara West |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881272797 PECOS PAC ID: 7810399656 Enrollment ID: I20210715002339 |
Provider Name | Mark Brown |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790476448 PECOS PAC ID: 2860859584 Enrollment ID: I20240313003233 |
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