NPIMap

Organization Active NPI

Neighborcare Health

  • Federally Qualified Health Center (FQHC)
  • Vashon, WA
National Provider Identifier
1366969263
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NEIGHBORCARE HEALTH
Practice address
9600 SW 204TH St
Vashon, WA 98070-6135
Phone
(206) 548-7550
Fax
(206) 973-8779
NPI assigned
Aug 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Charisse Marshall
Title
Director of Revenue Cycle
Phone
(206) 548-3102

Specialties & licenses 1

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

Addresses

Primary practice location

9600 SW 204TH St
Vashon, WA 98070-6135

Mailing address

1200 12TH Ave S Ste 901
Seattle, WA 98144-2712
Phone (206) 548-3114

Other identifiers 1

IdentifierTypeStateIssuer
2116704MedicaidWA

Other names 1

  • Neighborcare Health at Vashon Island High School Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180522001035 WA Part A Provider - Federally Qualified Health Center (FQHC) 0143134205 Practice locations: Vashon, WA

Federally qualified health center certification: CCN 941038

Legal name
NEIGHBORCARE HEALTH
Doing business as
NEIGHBOR CARE HEALTH AT VASHON ISLAND HIGH SCHOOL
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 26, 2018
Last certification
Apr 26, 2018
Ownership / control type
Non-profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 21, 1969 in WA
Enrollment address
9600 SW 204TH St
Room 1009
Vashon, WA 98070

Other NPIs with the same Medicare PAC ID 21

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

View all 21

National Provider Directory

National Provider Directory
Tax ID family
Puget SND Neighbhd Heal75 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

9600 SW 204th St
Vashon, WA 98070
Phone (206) 548-7550

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Neighborcare Health Organization, Seattle, WA Non-profit Operational/Managerial Control Aug 12, 1969 100%
Jennifer R Bell Individual Corporate DirectorBoard Member Sep 5, 2017
Rashad C Collins Individual Operational/Managerial Control Dec 6, 2023
John R. Greenlee Individual Corporate DirectorBoard Member Sep 5, 2017
Holly S Ferraro Individual Corporate DirectorBoard Member Sep 5, 2017
Andrew Femling Individual Corporate DirectorBoard Member Sep 5, 2017
Salil Gupte Individual Corporate DirectorBoard Member Sep 5, 2017
John F. Jenkel Individual Corporate DirectorBoard Member Sep 5, 2017
Nancy I Douty Individual Corporate DirectorBoard Member Sep 5, 2017
Richard D Rubin Individual Corporate DirectorBoard Member Sep 5, 2017
Romulus D Lee Individual Corporate DirectorBoard Member Sep 5, 2017
Barbara Shickich Individual Corporate DirectorBoard Member Sep 5, 2017
Rose Feliciano Individual Corporate DirectorBoard Member Sep 5, 2017
Joyce Williams Individual Corporate DirectorBoard Member Sep 5, 2017
Joyce K Lammert Individual Corporate DirectorBoard Member Sep 5, 2017
Charisse Marshall Individual W-2 Managing EmployeeDirector of Billing Operations Sep 5, 2017
Sarah Chesemore Individual Corporate DirectorBoard Member Sep 5, 2017
Janine L Childs Individual Corporate OfficerCfo Sep 5, 2017

Owners & managing parties with NPI records 21

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

View all 21

All facility ownership & control disclosures 6

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

FacilityTypeRoleSince
Neighborcare HealthSeattle, WA, CCN 501957 Federally qualified health center Operational/Managerial Control (100%) Nov 26, 2013
Neighborcare HealthSeattle, WA, CCN 501956 Federally qualified health center Operational/Managerial Control (100%) Nov 25, 2013
Neighborcare Health at Denny International Middle SchoolSeattle, WA, CCN 501959 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 2015
Neighborcare Health at Dearborn Park International SchoolSeattle, WA, CCN 501966 Federally qualified health center Operational/Managerial Control (100%) Apr 7, 2014
Neighborcare Health at the MorrisonSeattle, WA, CCN 941045 Federally qualified health center Operational/Managerial Control (100%) Aug 12, 1969
Neighborcare Health at MagnusonSeattle, WA, CCN 941055 Federally qualified health center Operational/Managerial Control (100%) May 31, 2019

Owned or controlled facilities with NPI records 6

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

Facilities with the same owner 6

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

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1366969263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 12TH AVE S STE 901",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442712",
            "telephone_number": "206-548-3114",
            "fax_number": "206-962-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 SW 204TH ST",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980706135",
            "telephone_number": "206-548-7550",
            "fax_number": "206-973-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORCARE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "CHARISSE",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "206-548-3102"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2116704",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neighborcare Health at Vashon Island High School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vashon, WA

Sources for this page

Verify at the official NPI Registry.