NPIMap

Organization Active NPI

King County Finance

Doing business as Seattle-King County Dept of Public Health

  • Multi-Specialty Clinic/Center
  • Seattle, WA
National Provider Identifier
1306903604
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
KING COUNTY FINANCE
Doing business as
Seattle-King County Dept of Public Health
Practice address
401 5TH Ave
Suite 1200
Seattle, WA 98104-1818
Phone
(206) 205-5975
NPI assigned
Jan 3, 2007
Last updated
Mar 24, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
KING COUNTY FINANCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Authorized official

Name
Maureen Peterson
Title
Administrative & Financial Services
Phone
(206) 263-8392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

401 5TH Ave
Suite 1200
Seattle, WA 98104-1818

Mailing address

401 Fifth Avenue
Suite 1300
Seattle, WA 98104-1818
Phone (206) 205-5975

Other names 1

  • Seattle-King County Dept of Public Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20031204001111 WA Part B Supplier - Clinic/Group Practice 8022913789 Receives reassigned benefits from 97 practitioners
1 other NPI on this enrollment
Practice locations: Renton, WA; Seatte, WA; Seattle, WA; Burien, WA; Kent, WA; Auburn, WA; Bellevue, WA; Bothell, WA…
O20160921000702 WA Part A Provider - Federally Qualified Health Center (FQHC) 8022913789 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bellevue, WA
O20160921000868 WA Part A Provider - Federally Qualified Health Center (FQHC) 8022913789 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Seattle, WA
O20161107001885 WA Part A Provider - Federally Qualified Health Center (FQHC) 8022913789 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Seattle, WA

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1306903604. Details of each certification follow.

Federally qualified health center certification: CCN 941014

Legal name
KING COUNTY FINANCE
Doing business as
PUBLIC HEALTH - SEATTLE & KING COUNTY
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 28, 2016
Last certification
Jul 28, 2016
Ownership / control type
Non-profit – corporation
Organization structure
GovernmentNon-profit
Enrollment address
14350 SE Eastgate Way
Bellevue, WA 98007-6458

Federally qualified health center certification: CCN 941015

Legal name
KING COUNTY FINANCE
Doing business as
PUBLIC HEALTH - SEATTLE & KING COUNTY
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 28, 2016
Last certification
Jul 28, 2016
Ownership / control type
Non-profit – corporation
Organization structure
GovernmentNon-profit
Enrollment address
2124 4TH Ave
Seattle, WA 98121-2308

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 4

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

National Provider Directory

National Provider Directory
Part of
Seattle King County Dept of Public Health

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

401 5th Ave
Ste 1200
Seattle, WA 98104
Phone (206) 205-5975

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 Officer Jan 24, 2011 100%
Operational/Managerial ControlFinance & Administrative Service Jan 24, 2011 100%
Corporate Officer100 Jan 24, 2011
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 Jul 20, 2016 100%
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 King County Dept of Public Health

    • Federally Qualified Health Center (FQHC)
    • Seattle, WA
    • NPI 1295383958

    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 3

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
King County Dept of Public HealthSeattle, WA, CCN 941016 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 24, 2011

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 King County Dept of Public Health

    • Federally Qualified Health Center (FQHC)
    • Seattle, WA
    • NPI 1295383958

    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

Practitioners & affiliated clinicians

Practitioners 98

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 98

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1306903604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 FIFTH AVENUE",
            "address_2": "SUITE 1300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041818",
            "telephone_number": "206-205-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 5TH AVE",
            "address_2": "SUITE 1200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041818",
            "telephone_number": "206-205-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING COUNTY FINANCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KING COUNTY FINANCE",
        "enumeration_date": "2007-01-03",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "ADMINISTRATIVE & FINANCIAL SERVICES",
        "authorized_official_telephone_number": "206-263-8392"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seattle-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.