| Neighborcare Health | |
|
12721 30th Ave Ne Ste 101 Seattle WA 98125-4498 | |
| (206) 417-0326 | |
| (206) 417-0783 |
| Full Name | Neighborcare Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 12721 30th Ave Ne, Seattle, Washington |
| Authorized Official Name and Position | Charisse Marshall (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 2065483102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neighborcare Health 1200 12th Ave S Ste 901 Seattle WA 98144-2712 Ph: (206) 548-3114 | Neighborcare Health 12721 30th Ave Ne Ste 101 Seattle WA 98125-4498 Ph: (206) 417-0326 |
| NPI Number | 1962754713 |
|---|---|
| Provider Enumeration Date | 10/03/2012 |
| Last Update Date | 09/10/2025 |
| Medicare PECOS PAC ID | 0143134205 |
|---|---|
| Medicare Enrollment ID | O20130823000354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962754713 | NPI | - | NPPES |
| 501965 | Other | WA | CMS CERTIFICATION |
| 2023330 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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