Seattle Indian Health Board in Seattle - Federally Qualified Health Center (fqhc)

Seattle Indian Health Board - NPI 1154469104

Seattle Indian Health Board is a Federally Qualified Health Center (fqhc) in Seattle, Washington. Seattle Indian Health Board practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Seattle Indian Health Board is 1154469104. The last update date is 2022-04-08.

Seattle Indian Health Board's current location address is 611 12th Ave S, Seattle, Washington. You can contact this provider via phone number 2063249360 and fax number 2063248910. The mailing address for Seattle Indian Health Board is 611 12th Ave S, Seattle, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Seattle Indian Health Board
Address 611 12th Ave S, Seattle, Washington
Phone Number 2063249360
Fax Number 2063248910
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Lucero Esther
Credentials MPP
Telephone Number 2063249360

NPI Number Detail

NPI Number 1154469104
Provider Enumeration Date 2007-02-02
Last Updated Date 2022-04-08

Provider Mailing Address Detail

Address 611 12th Ave S
City Seattle
State Washington (WA)
Post Code 981441910
Phone Number 2063249360
Fax Number 2063248910

Provider's Primary Taxonomy Detail

Speciality Federally Qualified Health Center (fqhc)
Taxonomy 261Qf0400X
Licence No 600440936
Definition:
Provides primary and preventive care services in underserved areas, receiving certain federal funding grants.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1990878 WA --

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FAQs about Seattle Indian Health Board

What is the unique provider identifier assigned to Seattle Indian Health Board?

The Seattle Indian Health Board has been issued the NPI (National Provider Identifier) 1154469104 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Seattle Indian Health Board located?

The Seattle Indian Health Board is located at 611 12Th Ave S, Seattle, WA 981441910.

What is Seattle Indian Health Board's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Seattle Indian Health Board is Federally Qualified Health Center (fqhc), and the taxonomy classification code that categorizes this area of expertise is 261Qf0400X.

On what date did the Seattle Indian Health Board receive its 1154469104 assignment from the Centers for Medicare & Medicaid Services?

The Seattle Indian Health Board was assigned its 1154469104 by the Centers for Medicare & Medicaid Services on 2007-02-02.

When was the information regarding Seattle Indian Health Board, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Seattle Indian Health Board, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-04-08.

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