PUGET SOUND NEIGHBORHOOD HEALTH CENTERS NPI 1093928210

NPI Information

NPI: 1093928210
Provider Name: PUGET SOUND NEIGHBORHOOD HEALTH CENTERS
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
3429 45TH AVE SW
SEATTLE, WA
ZIP 98116
Phone: (206) 933-7842
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PUGET SOUND NEIGHBORHOOD HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Seattle, WA. PUGET SOUND NEIGHBORHOOD HEALTH CENTERS NPI is 1093928210. The provider is registered as an organization entity type.

The provider's business location address is:

3429 45TH AVE SW
SEATTLE, WA
ZIP 98116-330
Phone: (206) 933-7842
Fax: (206) 933-7913

The provider's authorized official is Mark Secord .
The authorized official title is Executive Director and has the following contact phone number (206) 461-6935.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7901291	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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