Seattle Indian Health Board | |
611 12th Ave S 200 Seattle WA 98144-1910 | |
(206) 324-9360 | |
(206) 324-8910 |
Full Name | Seattle Indian Health Board |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 611 12th Ave S, Seattle, Washington |
Authorized Official Name and Position | Esther Lucero (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2063249360 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Seattle Indian Health Board Po Box 3364 Seattle WA 98114-3364 Ph: (206) 324-9360 | Seattle Indian Health Board 611 12th Ave S 200 Seattle WA 98144-1910 Ph: (206) 324-9360 |
NPI Number | 1326186370 |
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Provider Enumeration Date | 02/02/2007 |
Last Update Date | 12/30/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326186370 | NPI | - | NPPES |
50D0065434 | Other | WA | CLIA LAB |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 600440936 (Washington) | Primary |
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