| Neighborcare Health At Rainier Beach | |
|
9245 Rainier Ave S Seattle WA 98118-5569 | |
| (206) 722-8444 | |
| (206) 721-6310 |
| Full Name | Neighborcare Health At Rainier Beach |
|---|---|
| Speciality | Clinic/Center |
| Location | 9245 Rainier Ave S, 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 Rainier Beach 1200 12th Ave South Suite 901 Seattle WA 98144 Ph: (206) 548-3114 | Neighborcare Health At Rainier Beach 9245 Rainier Ave S Seattle WA 98118-5569 Ph: (206) 722-8444 |
| NPI Number | 1275567539 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 02/05/2018 |
| Medicare PECOS PAC ID | 0143134205 |
|---|---|
| Medicare Enrollment ID | O20101115001002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275567539 | NPI | - | NPPES |
| 50D0632431 | Other | WA | CLIA |
| 7115934 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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