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
1629 N 45TH ST, SEATTLE, WA 98103-6701
(206) 633-3350
(206) 633-3113
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
CF00004037
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4922818
NCPDP
—
01
—
600-138418-6
STATE TAX ID
WA
05
—
6024418
—
WA
Enumeration date
12/29/2006
Last updated
11/19/2010
Update your record
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