<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 9635 Des Moines Memorial Dr, Seattle, Washington. For appointments, you can reach them via phone at (206) 474-2001. The mailing address for is Po Box 34703, Seattle, Washington and phone number is (206) 764-3335.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1144780008. 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) 474-2001.

Contact Information


	9635 Des Moines Memorial Dr Seattle WA 98108-5061
	(206) 474-2001
	(206) 974-8005

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	9635 Des Moines Memorial Dr, Seattle, Washington
Authorized Official Name and Position	Jolee Ann Elizabeth Sankey (CREDENTIALING SUPERVISOR)
Authorized Official Contact	2064742001
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 34703 Seattle WA 98124-1703 Ph: (206) 764-3335	9635 Des Moines Memorial Dr Seattle WA 98108-5061 Ph: (206) 474-2001

NPI Details:

NPI Number	1144780008
Provider Enumeration Date	03/25/2019
Last Update Date	09/14/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	7315831161
Medicare Enrollment ID	O20190723001466

Medical Identifiers

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

Identifier	Type	State	Issuer
1144780008	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Secondary
207QA0000X	Family Medicine - Adolescent Medicine	(* (Not Available))	Secondary
207QA0505X	Family Medicine - Adult Medicine	(* (Not Available))	Secondary
207QG0300X	Family Medicine - Geriatric Medicine	(* (Not Available))	Secondary
208000000X	Pediatrics	(* (Not Available))	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary
261QR0405X	Clinic/center - Rehabilitation, Substance Use Disorder	(* (Not Available))	Secondary
363A00000X	Physician Assistant	(* (Not Available))	Secondary
363L00000X	Nurse Practitioner	(* (Not Available))	Secondary
363LF0000X	Nurse Practitioner - Family	(* (Not Available))	Secondary

Reviews and Comments

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- Medicare Primary Care in Seattle, WA