NPIMap

Organization Active NPI

Healthpoint

Doing business as HealthPoint TAF@Saghalie Campus Health Center

  • Federally Qualified Health Center (FQHC)
  • Federal Way, WA
National Provider Identifier
1669075024
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HEALTHPOINT
Doing business as
HealthPoint TAF@Saghalie Campus Health Center
Practice address
33914 19TH Ave SW
Federal Way, WA 98023-8007
Phone
(235) 804-3589
NPI assigned
Nov 18, 2020
Last updated
Nov 18, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTHPOINTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Authorized official

Name
Matt Spray
Title
Credentialing Manager
Phone
(425) 277-1311

Specialties & licenses 1

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

Addresses

Primary practice location

33914 19TH Ave SW
Federal Way, WA 98023-8007

Mailing address

955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311

Other names 1

  • HealthPoint TAF@Saghalie Campus Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040206000245 WA Part B Supplier - Clinic/Group Practice 9335042886 Receives reassigned benefits from 405 practitioners
24 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Renton, WA; Seatac, WA; Seattle, WA; Tukwila, WA; Bothell, WA; Auburn, WA; Redmond, WA; Burien, WA…
O20210211001945 WA Part A Provider - Federally Qualified Health Center (FQHC) 9335042886 Practice locations: Federal Way, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669075024. Details of each certification follow.

Federally qualified health center certification: CCN 941086

Legal name
HEALTHPOINT
Doing business as
HEALTHPOINT TAF@SAGHALIE CAMPUS HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 5, 2021
Last certification
Feb 5, 2021
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 20, 1971 in WA
Enrollment address
33914 19TH Ave SW
Federal Way, WA 98023-8007

Other NPIs with the same Medicare PAC ID 19

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

  • Healthpoint

    dba HealthPoint Auburn North Annex

    • Federally Qualified Health Center (FQHC)
    • Auburn, WA
    • NPI 1053172635

    9335042886

    Same PAC ID
  • Healthpoint

    dba HealthPoint Renton Campus

    • Federally Qualified Health Center (FQHC)
    • Renton, WA
    • NPI 1093237737

    9335042886

    Same PAC ID
  • Healthpoint

    dba HealthPoint Family First Community Center

    • Federally Qualified Health Center (FQHC)
    • Renton, WA
    • NPI 1093426140

    9335042886

    Same PAC ID
  • Healthpoint

    dba HealthPoint Kent Urgent Care

    • Federally Qualified Health Center (FQHC)
    • Kent, WA
    • NPI 1144703885

    9335042886

    Same PAC ID
  • Healthpoint

    dba HealthPoint Tukwila Medical

    • Federally Qualified Health Center (FQHC)
    • Tukwila, WA
    • NPI 1215206313

    9335042886

    Same PAC ID
  • Healthpoint

    dba HealthPoint Bothell Pharmacy

    • Community/Retail Pharmacy
    • Bothell, WA
    • NPI 1417212911

    9335042886

    Same PAC ID
  • Healthpoint

    dba HealthPoint Renton Medical

    • Federally Qualified Health Center (FQHC)
    • Renton, WA
    • NPI 1629061353

    9335042886

    Same PAC ID
  • Healthpoint

    dba HealthPoint Highline Campus Health Center

    • Federally Qualified Health Center (FQHC)
    • Burien, WA
    • NPI 1649992934

    9335042886

    Same PAC ID
  • Healthpoint

    dba HealthPoint SeaTac Medical

    • Federally Qualified Health Center (FQHC)
    • Seatac, WA
    • NPI 1659496248

    9335042886

    Same PAC ID
  • Healthpoint

    dba HealthPoint Federal Way Medical

    • Federally Qualified Health Center (FQHC)
    • Federal Way, WA
    • NPI 1679575039

    9335042886

    Same PAC ID
  • Healthpoint

    dba HealthPoint Auburn North Medical

    • Federally Qualified Health Center (FQHC)
    • Auburn, WA
    • NPI 1699156141

    9335042886

    Same PAC ID
  • Healthpoint

    dba HealthPoint Auburn Medical

    • Federally Qualified Health Center (FQHC)
    • Auburn, WA
    • NPI 1730186966

    9335042886

    Same PAC ID
View all 19

Other NPIs on the same Medicare enrollment 24

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

View all 24

National Provider Directory

National Provider Directory
Tax ID family
Community Health Centers of King County41 organizations share this tax ID, including this one
Part of
Community Health Centers of King County

Other organizations with this tax ID 40

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

View all 40

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Delia Martin Individual Corporate DirectorBoard Member Dec 1, 2025
Laura Ward Individual Corporate Director Jan 1, 2021
Carlos Michel Individual Corporate Director Jun 1, 2023
Vicki Hammond Individual Corporate OfficerCfo Nov 29, 2010
W-2 Managing Employee Nov 29, 2010
Edward Lee Individual Corporate Director Jun 1, 2015
Megan Wildenradt Individual Corporate Director Oct 1, 2010
Alfredo Mogollan-Aranda Individual Corporate Director Jan 1, 2022
Grace Ssebugwawo Individual Corporate Director Dec 1, 2015
Juan Ganz Individual Corporate Director Oct 1, 2019
Chad Horner Individual Corporate Director Nov 1, 2005
Lisa Yohalem Individual Corporate OfficerCeo Feb 1, 2020
Sheryl Pot Individual Corporate Director Feb 1, 2004

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1669075024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311",
            "fax_number": "425-277-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33914 19TH AVE SW",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980238007",
            "telephone_number": "235-804-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHPOINT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHPOINT",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "SPRAY",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "425-277-1311"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthPoint TAF@Saghalie Campus Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.