Organization
NEIGHBORCARE HEALTH
Active
Organization
NEIGHBORCARE HEALTH
Active
Other names
Madison Wellness Center Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SECORD (PROVIDER ENROLLMENT SPECIALIST)
(206) 548-3114
Entity
Organization
Contact information
Practice address
905 SPRUCE ST STE 300, SEATTLE, WA 98104-2474
(206) 548-3114
(206) 762-6355
Mailing address
3429 45TH AVE SW, SEATTLE, WA 98116-3330
(206) 933-7842
(206) 252-9201
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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