Organization Active NPI

Neighborcare Health

Doing business as Neighborcare Health at Madison Middle School

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
National Provider Identifier
1689742678
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
Doing business as
Neighborcare Health at Madison Middle School
Practice address
3429 45TH Ave SW
Seattle, WA 98116-3330
Phone
(206) 933-7842
Fax
(206) 973-8676
NPI assigned
Nov 30, 2006
Last updated
Sep 10, 2025By the provider in NPPES
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 NU Primary

Addresses

Primary practice location

3429 45TH Ave SW
Seattle, WA 98116-3330

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
1016429MedicaidWA
7123482MedicaidWA

Other names 2

  • Neighborcare Health at Madison Middle School Doing business as
  • Puget Sound Neighborhood Health Centers Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140214001512 WA Part A Provider - Federally Qualified Health Center (FQHC) 0143134205 Practice locations: Seattle, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689742678. Details of each certification follow.

Federally qualified health center certification: CCN 941040

Legal name
NEIGHBORCARE HEALTH
Doing business as
PUGET SOUND NEIGHBORHOOD HEALTH CENTERS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 12, 2014
Last certification
Feb 12, 2014
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Aug 12, 1969 in WA
Enrollment address
3429 45TH Ave SW
Seattle, WA 98116-3330

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
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

Locations

3429 45th Ave SW
Seattle, WA 98116
Phone (206) 933-7842

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
Jennifer R Bell Individual Corporate DirectorBoard Member Jan 1, 2012
John R. Greenlee Individual Corporate DirectorBoard Member Jan 1, 1987
Holly S Ferraro Individual Corporate DirectorBoard Member Jan 1, 2012
Nancy I Douty Individual Corporate DirectorBoard Member Jan 1, 2005
Richard D Rubin Individual Corporate DirectorBoard Member Jan 1, 1988
Romulus D Lee Individual Corporate DirectorBoard Member Jan 1, 2010
Mark Secord Individual Corporate OfficerChief Executive Officer Dec 1, 1996
Barbara Shickich Individual Corporate DirectorBoard Member Jan 1, 2012
Fariba Etemadi-Nejad Alamdari Individual Corporate DirectorBoard Member Jan 1, 2009
Anthony Bozzuti Individual Corporate DirectorBoard Member Jan 1, 2009
Andrea Dahl Individual Corporate DirectorBoard Member Jan 1, 2001
Tamiko Miyano Individual Corporate DirectorBoard Member Jan 1, 2010
George E Parker Individual Corporate DirectorBoard Member Jan 1, 2001
Joyce K Lammert Individual Corporate DirectorBoard Member Jan 1, 2006
Charisse Marshall Individual W-2 Managing EmployeeBilling Supervisor Nov 15, 2010
Allison B Rhoades Individual Corporate DirectorBoard Member Jan 1, 2011
Evelyn Picketts Individual Corporate DirectorBoard Member Jan 1, 2012
Janine L Childs Individual Corporate OfficerChief Financial Officer Jan 16, 2010

All facility ownership & control disclosures 7

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
Neighbor Care Health at Vashon Island High SchoolVashon, WA, CCN 941038 Federally qualified health center Operational/Managerial Control (100%) Aug 12, 1969
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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1689742678",
    "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": "3429 45TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981163330",
            "telephone_number": "206-933-7842",
            "fax_number": "206-973-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORCARE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016429",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7123482",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neighborcare Health at Madison Middle School",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Puget Sound Neighborhood Health Centers",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.