Organization
SEATTLE INDIAN HEALTH BOARD
Active
Parent organization
SEATTLE INDIAN HEALTH BOARD
Organization subpart
Yes
Provider details
NPI number
Legal business name
SEATTLE INDIAN HEALTH BOARD
Authorized official
ANGELA LAFONTAINE (REVENUE CYCLE MANAGER)
(206) 324-4036
Entity
Organization
Contact information
Practice address
12736 33RD AVE NE # 200, SEATTLE, WA 98125-4504
(206) 324-9360
Mailing address
611 12TH AVE S, SEATTLE, WA 98144-2007
(206) 324-9360
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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