Organization
PUGET SOUND NEIGHBORHOOD HEALTH CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LLOYD SECORD (EXECUTIVE DIRECTOR)
(206) 461-6935
Entity
Organization
Contact information
Practice address
1930 POST ALY, SEATTLE, WA 98101-1015
(206) 728-4143
(206) 728-8653
Mailing address
905 SPRUCE ST, SUITE 300, SEATTLE, WA 98104-2474
(206) 461-6935
(206) 461-8382
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7128911
—
WA
Enumeration date
05/07/2007
Last updated
08/22/2020
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