Organization
PUGET SOUND NEIGHBORHOOD HEALTH CENTERS
Active
Other names
Neighborcare Health
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LLODY SECORD (EXECUTIVE DIRECTOR)
(206) 461-6935
Entity
Organization
Contact information
Practice address
1537 WESTERN AVE, SEATTLE, WA 98101-1521
(206) 728-4143
(206) 682-0363
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
600138418118
WA
Other
Enumeration date
02/08/2008
Last updated
05/07/2009
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