| King County Finance | |
|
2124 4th Ave Seattle WA 98121-2308 | |
| (206) 205-5975 | |
| (206) 259-2751 |
| Full Name | King County Finance |
|---|---|
| Speciality | Clinic/Center |
| Location | 2124 4th Ave, Seattle, Washington |
| Authorized Official Name and Position | Kevin Ardell Moe (PROVIDER ENROLLMENT SPECIALIST) |
| Authorized Official Contact | 2062638807 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| King County Finance 401 5th Ave Ste 1300 Seattle WA 98104-1823 Ph: (206) 205-5975 | King County Finance 2124 4th Ave Seattle WA 98121-2308 Ph: (206) 205-5975 |
| NPI Number | 1518593904 |
|---|---|
| Provider Enumeration Date | 03/17/2020 |
| Last Update Date | 03/17/2020 |
| Medicare PECOS PAC ID | 8022913789 |
|---|---|
| Medicare Enrollment ID | O20160921000868 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518593904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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