Organization
HEALTH HOME PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY BART (SVP/CHIEF MEMBERSHIP & HEALTH OFFIC)
(206) 382-7893
Entity
Organization
Contact information
Practice address
909 4TH AVE, SEATTLE, WA 98104-1108
(206) 382-7893
Mailing address
909 4TH AVE, SEATTLE, WA 98104-1108
(206) 382-7893
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1980184
—
WA
Enumeration date
02/14/2018
Last updated
11/05/2018
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