NPIMap

Organization Active NPI

King County Finance

Doing business as King County Dept of Public Health

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
National Provider Identifier
1295383958
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
KING COUNTY FINANCE
Doing business as
King County Dept of Public Health
Practice address
908 Jefferson St FL 11
Seattle, WA 98104-2433
Phone
(206) 744-3950
Fax
(206) 744-4151
NPI assigned
Aug 27, 2019
Last updated
Aug 27, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
KING COUNTY FINANCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kevin Ardell Moe
Title
Provider Enrollment Specialist
Phone
(206) 263-8807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

908 Jefferson St FL 11
Seattle, WA 98104-2433

Mailing address

401 5TH Ave Ste 1000
Seattle, WA 98104-1818
Phone (425) 263-8414

Other names 1

  • King County Dept of Public Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161107001885 WA Part A Provider - Federally Qualified Health Center (FQHC) 8022913789 1 other NPI on this enrollment
Practice locations: Seattle, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295383958. Details of each certification follow.

Federally qualified health center certification: CCN 941016

Legal name
KING COUNTY FINANCE
Doing business as
KING COUNTY DEPT OF PUBLIC HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 12, 2016
Last certification
Oct 12, 2016
Ownership / control type
Non-profit – corporation
Organization structure
GovernmentNon-profit
Enrollment address
908 Jefferson St
FL 11
Seattle, WA 98104-2433

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Dept of Public Health27 organizations share this tax ID, including this one
Part of
Dept of Public Health

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Maureen Peterson Individual Corporate DirectorOperational & Finance Manager Jan 24, 2011 100%
Operational/Managerial ControlOperational & Finance Manager Jan 24, 2011 100%
King County Finance Organization, Seattle, WA 5% Or Greater Direct Ownership Interest Jan 24, 2011 100%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • King County Finance

    dba Seattle-King County Dept of Public Health

    • Multi-Specialty Clinic/Center
    • Seattle, WA
    • NPI 1306903604

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • King County Finance
    • Federally Qualified Health Center (FQHC)
    • Seattle, WA
    • NPI 1518593904

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • King County Finance

    dba King County Public Health

    • Federally Qualified Health Center (FQHC)
    • Bellevue, WA
    • NPI 1922610393

    5% Or Greater Direct Ownership Interest

    CMS ownership

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Public Health - Seattle & King CountyBellevue, WA, CCN 941014 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 20, 2016
Public Health - Seattle & King CountySeattle, WA, CCN 941015 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 20, 2016

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • King County Finance

    dba Seattle-King County Dept of Public Health

    • Multi-Specialty Clinic/Center
    • Seattle, WA
    • NPI 1306903604

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • King County Finance
    • Federally Qualified Health Center (FQHC)
    • Seattle, WA
    • NPI 1518593904

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • King County Finance

    dba King County Public Health

    • Federally Qualified Health Center (FQHC)
    • Bellevue, WA
    • NPI 1922610393

    5% Or Greater Direct Ownership Interest

    CMS ownership

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1295383958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 5TH AVE STE 1000",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041818",
            "telephone_number": "425-263-8414",
            "fax_number": "206-259-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 JEFFERSON ST FL 11",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042433",
            "telephone_number": "206-744-3950",
            "fax_number": "206-744-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING COUNTY FINANCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KING COUNTY FINANCE",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "MOE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "ARDELL",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "206-263-8807"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "King County Dept of Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.