Organization
SEATTLE INDIAN HEALTH BOARD
Active
Parent organization
SEATTLE INDIAN HEALTH BOARD
Organization subpart
Yes
Provider details
NPI number
Legal business name
SEATTLE INDIAN HEALTH BOARD
Authorized official
ANGELA LAFONTAINE (REVENUE CYCLE MANAGER)
(206) 324-4036
Entity
Organization
Contact information
Practice address
611 12TH AVE S, SEATTLE, WA 98144-2007
(206) 324-4036
Mailing address
611 12TH AVE S, SEATTLE, WA 98144-2007
(206) 324-4036
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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