Organization
NEIGHBORCARE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK SECORD (EXECUTIVE DIRECTOR)
(206) 461-6935
Entity
Organization
Contact information
Practice address
415 N 85TH ST, SEATTLE, WA 98103-3701
(206) 782-8660
(206) 782-8765
Mailing address
905 SPRUCE ST STE 300, SEATTLE, WA 98104-2474
(206) 461-6935
(206) 461-8382
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50D0712025
CLIA
WA
05
—
7115983
—
WA
Enumeration date
07/17/2006
Last updated
09/01/2010
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