| Seattle Indian Health Board | |
|
12736 33rd Ave Ne # 200 Seattle WA 98125-4504 | |
| (206) 324-9360 | |
| Not Available |
| Full Name | Seattle Indian Health Board |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 12736 33rd Ave Ne # 200, Seattle, Washington |
| Authorized Official Name and Position | Angela Lafontaine (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 2063244036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seattle Indian Health Board 611 12th Ave S Seattle WA 98144-2007 Ph: (206) 324-9360 | Seattle Indian Health Board 12736 33rd Ave Ne # 200 Seattle WA 98125-4504 Ph: (206) 324-9360 |
| NPI Number | 1336715762 |
|---|---|
| Provider Enumeration Date | 05/27/2021 |
| Last Update Date | 05/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336715762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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