SEATTLE INDIAN HEALTH BOARD


Address: 410 2nd Avenue Ext S, Seattle, WA 98104-2876
Phone: 2062926214

SEATTLE INDIAN HEALTH BOARD (NPI# 1235778812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235778812
Entity Type Organization
Organization Name SEATTLE INDIAN HEALTH BOARD
Practice Address 410 2nd Avenue Ext S
Seattle
WA 98104-2876
Mailing Address 611 12th Ave S
Seattle
WA 98144-2007
Practice Telephone 2062926214
Mailing Telephone 2063249360
Mailing Fax Number 2068991682
Enumeration Date 2019-12-31
Last Update Date 2019-12-31
Authorized Official Name YVETTE YAZZIE (CREDENTIALING)
Authorized Official Telephone 2063249360
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1215002365 Seattle Indian Health Board Substance Abuse Rehabilitation Facility 9236 Renton Ave S, Seattle, WA 98118-5322 2006-11-22
1437297488 Seattle Indian Health Board Clinic/Center 611 12th Ave S, Seattle, WA 98144-1910 2007-02-02
1326186370 Seattle Indian Health Board Clinic/Center 611 12th Ave S, 200, Seattle, WA 98144-1910 2007-02-02
1245378298 Seattle Indian Health Board Clinic/Center 611 12th Ave S, Seattle, WA 98144-1910 2007-02-02
1154469104 Seattle Indian Health Board Clinic/Center 611 12th Ave S, Seattle, WA 98144-1910 2007-02-02
1497820542 Seattle Indian Health Board Clinic/Center 611 12th Ave S, Seattle, WA 98144-1910 2006-11-22
1306911458 Seattle Indian Health Board Clinic/Center 611 12th Ave S, Suite 200, Seattle, WA 98144-1910 2006-11-22
1316012461 Seattle Indian Health Board Clinic/Center 611 12th Ave S, Seattle, WA 98144-1910 2006-11-22

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities SEATTLE INDIAN HEALTH BOARD 611 12th Ave S, Seattle, WA 98144-1910
Washington State Corporations SEATTLE INDIAN HEALTH BOARD FOUNDATION 606 12th Ave S, Seattle, WA 98114

Office Location

Street Address 410 2ND AVENUE EXT S
City SEATTLE
State WA
Zip Code 98104-2876

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699394312 Richard Charles Harruff Pathology King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 2020-04-13
1558999474 Nathan Richard Benner Student in an Organized Health Care Education/Training Program Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 2020-03-27
1063058493 Brook, LLC. Health Educator 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 2019-11-20
1609418813 Stephanie Amanda Ann Mason Student in an Organized Health Care Education/Training Program 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 2019-10-09
1013480250 Robert Kenneth Lozier Pedorthist Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 2019-01-10
1548739576 Lee Hanses Physical Therapist 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 2018-11-20
1821579095 Karissa Lin Lee Pharmacist 401 Broadway #2075, Seattle, WA 98104 2018-08-27
1477042091 Maham Jehangir Student in an Organized Health Care Education/Training Program 325 9th Ave Department of Radiology, Seattle, WA 98104 2018-05-09
1740786581 Philip Daniel Tolley Student in an Organized Health Care Education/Training Program 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 2018-04-02
1528564242 Vanessa Dawn Leonhard Student in an Organized Health Care Education/Training Program 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 2018-04-02
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376185694 Neighborcare Health Clinic/Center 2709 3rd Ave, Seattle, WA 98121-1217 2019-10-09
1295383958 King County Finance Clinic/Center 908 Jefferson St Fl 11, Seattle, WA 98104-2433 2019-08-27
1881254449 Neighborcare Health Clinic/Center 7101 62nd Ave Ne Ste 4, Seattle, WA 98115-7168 2019-06-17
1578028866 Neighborcare Health Clinic/Center 2119 3rd Ave, Seattle, WA 98121-2333 2019-01-31
1073030508 Neighborcare Health Clinic/Center 509 3rd Ave, Seattle, WA 98104-3282 2017-08-25
1144629908 Neighborcare Health Clinic/Center 13555 Aurora Ave N, Seattle, WA 98133-7511 2014-08-18
1225461908 Neighborcare Health Clinic/Center 2820 S Orcas St, Seattle, WA 98108-3066 2013-08-16
1184057150 Neighborcare Health Clinic/Center 6760 34th Ave Sw, Seattle, WA 98126-4208 2013-08-14
1679825988 Neighborcare Health Clinic/Center 7740 34th Ave Sw, Seattle, WA 98126-3503 2012-10-10
1174888119 Healthpoint Clinic/Center 830 Sw 116th St, Seattle, WA 98146-2257 2012-07-05
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Competitor

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City SEATTLE
Zip Code 98104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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