Organization
KING COUNTY FINANCE
Active
Parent organization
KING COUNTY DEPT. OF PUBLIC HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
KING COUNTY DEPT. OF PUBLIC HEALTH
Authorized official
KEVIN ARDELL MOE (PROVIDER ENROLLMENT SPECIALIST)
(206) 263-8807
Entity
Organization
Contact information
Practice address
2124 4TH AVE, SEATTLE, WA 98121-2308
(206) 205-5975
(206) 259-2751
Mailing address
401 5TH AVE STE 1300, SEATTLE, WA 98104-1823
(206) 205-5975
(206) 259-2751
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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