Organization
NEIGHBORCARE HEALTH
Active
Organization
NEIGHBORCARE HEALTH
Active
Other names
Puget Sound Neighborhood Health Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LLOYD SECORD (EXECUTIVE DIRECTOR)
(206) 461-6935
Entity
Organization
Contact information
Practice address
1930 POST ALLEY, SEATTLE, WA 98101-1015
(206) 728-4143
(206) 956-4018
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
F000058312
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4914493
NCPDP
—
01
—
6001384186
STATE TAX ID
—
05
—
6008965
—
WA
Enumeration date
12/29/2006
Last updated
11/19/2010
Update your record
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