Seattle Indian Health Board | |
124 2nd Ave S Seattle WA 98104-5168 | |
(206) 292-6214 | |
Not Available |
Full Name | Seattle Indian Health Board |
---|---|
Speciality | Clinic/Center |
Location | 124 2nd Ave S, Seattle, Washington |
Authorized Official Name and Position | Yvette Yazzie (CREDENTIALING) |
Authorized Official Contact | 2063249360 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Seattle Indian Health Board 611 12th Ave S Seattle WA 98144-2007 Ph: (206) 324-9360 | Seattle Indian Health Board 124 2nd Ave S Seattle WA 98104-5168 Ph: (206) 292-6214 |
NPI Number | 1235778812 |
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Provider Enumeration Date | 12/31/2019 |
Last Update Date | 09/15/2022 |
Medicare PECOS PAC ID | 7517866973 |
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Medicare Enrollment ID | O20230227002656 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235778812 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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