Organization
KING COUNTY FINANCE
Active
Other names
King County Public Health
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN ARDELL MOE (PROVIDER ENROLLMENT SPECIALIST)
(206) 263-8807
Entity
Organization
Contact information
Practice address
401 5TH AVE STE 1000, SEATTLE, WA 98104-1818
(206) 205-5975
(205) 205-3945
Mailing address
401 5TH AVE STE 1000, SEATTLE, WA 98104-1818
(206) 205-5975
(206) 205-3945
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
04/21/2021
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