NPIMap

Organization Active NPI

Puget Sound Neighborhood Health Centers

Doing business as Neighborcare Health

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
National Provider Identifier
1558549857
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
600138418118 Issued in WA
Legal business name
PUGET SOUND NEIGHBORHOOD HEALTH CENTERS
Doing business as
Neighborcare Health
Practice address
1537 Western Ave
Seattle, WA 98101-1521
Phone
(206) 728-4143
Fax
(206) 682-0363
NPI assigned
Feb 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Authorized official

Name
Mark Llody Secord
Title
Executive Director
Phone
(206) 461-6935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 600138418118 WA Primary

Addresses

Primary practice location

1537 Western Ave
Seattle, WA 98101-1521

Mailing address

905 Spruce St
Ste. 300
Seattle, WA 98104-2474
Phone (206) 461-6935

Other names 1

  • Neighborcare Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rainier Vista Med CL75 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

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1558549857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 SPRUCE ST",
            "address_2": "STE. 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042474",
            "telephone_number": "206-461-6935",
            "fax_number": "206-461-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 WESTERN AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011521",
            "telephone_number": "206-728-4143",
            "fax_number": "206-682-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUGET SOUND NEIGHBORHOOD HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "SECORD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LLODY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "206-461-6935"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "WA",
            "license": "600138418118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neighborcare Health",
            "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 May 7, 2009; 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.