# SEATTLE-KING COUNTY DEPT OF PUBLIC HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KING COUNTY EXECUTIVE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104983543
- **Legal business name:** KING COUNTY EXECUTIVE
- **Authorized official:** KEVIN ARDELL MOE (PRACTICE MANAGEMENT ADMINISTRATOR)
- **Authorized official phone:** (206) 263-8807

## Contact information

- **Practice address:** 401 5TH AVE, SUITE 1200, SEATTLE, WA 98104-1818
- **Practice address phone:** (206) 205-5975
- **Mailing address:** 401 5TH AVE, SUITE 1200, SEATTLE, WA 98104-1818
- **Mailing address phone:** (206) 205-5975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 10/13/2022