| Puget Sound Neighborhood Health Center | |
|
4400 37th Ave S Seattle WA 98118-1609 | |
| (206) 461-6957 | |
| (206) 461-7810 |
| Full Name | Puget Sound Neighborhood Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4400 37th Ave S, Seattle, Washington |
| Authorized Official Name and Position | Mark Secord (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2064616935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Puget Sound Neighborhood Health Center 905 Spruce St Suite 300 Seattle WA 98104-2474 Ph: (206) 461-6935 | Puget Sound Neighborhood Health Center 4400 37th Ave S Seattle WA 98118-1609 Ph: (206) 461-6957 |
| NPI Number | 1992918122 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992918122 | NPI | - | NPPES |
| 7117088 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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