| King County Dept Of Public Health | |
|
908 Jefferson St Fl 11 Seattle WA 98104-2433 | |
| (206) 744-3950 | |
| (206) 744-4151 |
| Full Name | King County Dept Of Public Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 908 Jefferson St Fl 11, Seattle, Washington |
| Authorized Official Name and Position | Kevin Ardell Moe (PROVIDER ENROLLMENT SPECIALIST) |
| Authorized Official Contact | 2062638807 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| King County Dept Of Public Health 401 5th Ave Ste 1000 Seattle WA 98104-1818 Ph: (425) 263-8414 | King County Dept Of Public Health 908 Jefferson St Fl 11 Seattle WA 98104-2433 Ph: (206) 744-3950 |
| NPI Number | 1295383958 |
|---|---|
| Provider Enumeration Date | 08/27/2019 |
| Last Update Date | 08/27/2019 |
| Medicare PECOS PAC ID | 8022913789 |
|---|---|
| Medicare Enrollment ID | O20161107001885 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295383958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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