Organization
NEIGHBORCARE HEALTH
Active
Other names
Puget Sound Neighborhood Health Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ERIKSON (CHIEF EXECUTIVE OFFICER)
(206) 461-6935
Entity
Organization
Contact information
Practice address
1200 12TH AVE S STE 901, SEATTLE, WA 98144-2712
(206) 461-6935
(206) 461-8382
Mailing address
1200 12TH AVE SOUTH, SUITE 901, SEATTLE, WA 98144
(206) 548-3114
(206) 762-6355
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32120
L&I
WA
05
—
7034176
—
WA
05
—
7401953
—
WA
Enumeration date
07/04/2006
Last updated
07/21/2022
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