Organization
SEATTLE ROOTS COMMUNITY HEALTH
Active
Organization
SEATTLE ROOTS COMMUNITY HEALTH
Active
Parent organization
SEATTLE ROOTS COMMUNITY HEALTH
Other names
Nova Wellness Center, Seattle Roots at Nova
Organization subpart
Yes
Provider details
NPI number
Legal business name
SEATTLE ROOTS COMMUNITY HEALTH
Authorized official
ANGIE J TREPTOW (INTERIM FINANCE DIRECTOR)
(253) 299-1937
Entity
Organization
Contact information
Practice address
2410 E CHERRY ST, SEATTLE, WA 98122
(206) 709-7166
(206) 299-1920
Mailing address
2101 E YESLER WAY, SUITE 210, SEATTLE, WA 98122-5959
(206) 709-7112
(206) 299-1920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2174445
—
WA
Enumeration date
05/21/2020
Last updated
06/05/2025
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