Organization
SEATTLE KING CO DEPT OF PUBLIC HEALTH
Active
Organization
SEATTLE KING CO DEPT OF PUBLIC HEALTH
Active
Parent organization
KING COUNTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
KING COUNTY
Authorized official
KEVIN ARDELL MOE (PRACTICE MANAGEMENT ADMINISTRATOR)
(206) 263-8807
Entity
Organization
Contact information
Practice address
401 5TH AVE # 1200, SEATTLE, WA 98104-2333
(206) 263-8673
Mailing address
401 5TH AVE # 1200, SEATTLE, WA 98104-2333
(206) 263-8673
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7590425
—
WA
Enumeration date
08/17/2007
Last updated
10/13/2022
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