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 (COMMUNITY RELATIONS MANAGER)
(206) 324-4036
Entity
Organization
Contact information
Practice address
124 2ND AVE S, SEATTLE, WA 98104-5168
(206) 324-9360
Mailing address
611 12TH AVE S, SEATTLE, WA 98144-2007
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
09/15/2022
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