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Organization
NEIGHBORCARE HEALTH
Active
Organization
NEIGHBORCARE HEALTH
Active
Other names
Ballard Homeless Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JANINE CHILDS (CFO)
(206) 548-3034
Entity
Organization
Contact information
Practice address
1753 NW 56TH ST, SUITE 200, SEATTLE, WA 98107-5279
(206) 782-5939
(206) 782-5934
Mailing address
1200 12TH AVE S, SUITE 900, SEATTLE, WA 98144-2712
(206) 548-3102
(206) 762-6355
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
261QF0400X
Federally Qualified Health Center (FQHC)
—
NULL
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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