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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
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 |
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 |
Street Address |
410 2ND AVENUE EXT S |
City | SEATTLE |
State | WA |
Zip Code | 98104-2876 |
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 |
Find all providers in zip 98104 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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 |
Find all providers in SEATTLE |
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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.