<unavail> in Seattle, WA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Seattle, Washington. The current practice location for is 1621 S Jackson St, Suite 201, Seattle, Washington. For appointments, you can reach them via phone at (206) 732-0311. The mailing address for is 2101 E Yesler Way, Suite 210, Seattle, Washington and phone number is (206) 709-7112.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1891343075. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (206) 732-0311.

Contact Information


	1621 S Jackson St Suite 201 Seattle WA 98144-2277
	(206) 732-0311
	(206) 299-0855

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1621 S Jackson St, Seattle, Washington
Authorized Official Name and Position	Angie Treptow (INTERIM DIRECTOR OF FINANCE)
Authorized Official Contact	2062991937
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
2101 E Yesler Way Suite 210 Seattle WA 98122-5959 Ph: (206) 709-7112	1621 S Jackson St Suite 201 Seattle WA 98144-2277 Ph: (206) 732-0311

NPI Details:

NPI Number	1891343075
Provider Enumeration Date	08/30/2019
Last Update Date	05/20/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	8628966173
Medicare Enrollment ID	O20240712000920

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891343075	NPI	-	NPPES
UBI601583685	Other	WA	DEPARTMENT OF REVENUE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QC1500X	Clinic/center - Community Health	(* (Not Available))	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

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- Medicare Primary Care in Seattle, WA