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
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