NPIMap

Organization Active NPI

Seattle Roots Community Health

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
National Provider Identifier
1497189773
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SEATTLE ROOTS COMMUNITY HEALTH
Practice address
2101 E Yesler Way
Suite 100
Seattle, WA 98122-5959
Phone
(206) 299-1900
Fax
(206) 299-1906
NPI assigned
Aug 22, 2013
Organization subpart
Yes
Parent organization
SEATTLE ROOTS COMMUNITY HEAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Angie Treptow
Title
Interim Finance Director
Phone
(206) 299-1937

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X UBI601583685 WA
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2101 E Yesler Way
Suite 100
Seattle, WA 98122-5959

Mailing address

2101 E Yesler Way
Suite 210
Seattle, WA 98122-5959
Phone (206) 709-7112

Other identifiers 1

IdentifierTypeStateIssuer
2034758MedicaidWA

Other names 1

  • SEATTLE ROOTS AT AFTER HOURS CLINIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040308000484 WA Part B Supplier - Clinic/Group Practice 8628966173 Receives reassigned benefits from 66 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Seattle, WA

Other NPIs on the same Medicare enrollment 6

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

National Provider Directory

National Provider Directory
Part of
Country Doctor Comm Clinic

Locations

2101 E Yesler Way
Ste 100
Seattle, WA 98122
Phone (206) 987-7200

Practitioners & affiliated clinicians

Practitioners 64

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

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1497189773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 E YESLER WAY",
            "address_2": "SUITE 210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225959",
            "telephone_number": "206-709-7112",
            "fax_number": "206-299-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 E YESLER WAY",
            "address_2": "SUITE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225959",
            "telephone_number": "206-299-1900",
            "fax_number": "206-299-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE ROOTS COMMUNITY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEATTLE ROOTS COMMUNITY HEA",
        "enumeration_date": "2013-08-22",
        "last_updated": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "TREPTOW",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "INTERIM FINANCE DIRECTOR",
        "authorized_official_telephone_number": "206-299-1937"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "WA",
            "license": "UBI601583685",
            "primary": false
        },
        {
            "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": "2034758",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEATTLE ROOTS AT AFTER HOURS CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.