NPIMap

Organization Active NPI

Seattle Indian Health Board

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
National Provider Identifier
1336715762
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SEATTLE INDIAN HEALTH BOARD
Practice address
12736 33Rd Ave NE # 200
Seattle, WA 98125-4504
Phone
(206) 324-9360
NPI assigned
May 27, 2021
Organization subpart
Yes
Parent organization
SEATTLE INDIAN HEALTH BOARDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Authorized official

Name
Angela Lafontaine
Title
Revenue Cycle Manager
Phone
(206) 324-4036

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

12736 33Rd Ave NE # 200
Seattle, WA 98125-4504

Mailing address

611 12TH Ave S
Seattle, WA 98144-2007
Phone (206) 324-9360

National Provider Directory

National Provider Directory
Tax ID family
Michael Robinson17 organizations share this tax ID, including this one
Part of
Michael Robinson

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1336715762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 12TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442007",
            "telephone_number": "206-324-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12736 33RD AVE NE # 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981254504",
            "telephone_number": "206-324-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE INDIAN HEALTH BOARD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEATTLE INDIAN HEALTH BOARD",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "LAFONTAINE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "206-324-4036"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.