| Neighborcare Health At Madison Middle School | |
|
3429 45th Ave Sw Seattle WA 98116-3330 | |
| (206) 933-7842 | |
| (206) 933-7913 |
| Full Name | Neighborcare Health At Madison Middle School |
|---|---|
| Speciality | Clinic/Center |
| Location | 3429 45th Ave Sw, Seattle, Washington |
| Authorized Official Name and Position | Michael Erikson (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2064616935 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neighborcare Health At Madison Middle School 1200 12th Ave S Ste 901 Seattle WA 98144-2712 Ph: (206) 548-3114 | Neighborcare Health At Madison Middle School 3429 45th Ave Sw Seattle WA 98116-3330 Ph: (206) 933-7842 |
| NPI Number | 1689742678 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 06/16/2018 |
| Medicare PECOS PAC ID | 0143134205 |
|---|---|
| Medicare Enrollment ID | O20140214001512 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689742678 | NPI | - | NPPES |
| 7123482 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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