Active NPI
Neighborcare Health
Doing business as Neighborcare Health at Madison Middle School
- Federally Qualified Health Center (FQHC)
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1016429 | Medicaid | WA | |
| 7123482 | Medicaid | WA |
Other names 2
- Neighborcare Health at Madison Middle School
- Puget Sound Neighborhood Health Centers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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).
-
dba Neighborcare Health at Denny International Middle School
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1003975095
0143134205
-
dba Neighborcare Health at West Seattle Elementary
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1184057150
0143134205
-
dba Neighborcare Health at Dearborn Park Internation School
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1225461908
0143134205
-
dba Neighborcare Health at Robert Eagle Staff Middle School
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1265086417
0143134205
-
dba Neighborcare Health at Lincoln High School
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1275187429
0143134205
-
dba Neighborcare Health at Rainier Beach
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1275567539
0143134205
-
dba Neighborcare Health at Ballard
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1275808214
0143134205
-
dba Neighborcare Health at 45th Street
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1285664227
0143134205
-
dba Neighborcare Health at Meridian
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1326443383
0143134205
-
dba Neighborcare Health at Pike Place Market
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1356371215
0143134205
National Provider Directory
National Provider Directory- Tax ID family
- Rainier Vista Med CL
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.
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1548326820
-
dba Neighborcare Health Youth Clinic at 45th Street
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1558574871
-
dba Mercer School Based Health Center Dental
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1568716108
-
dba Neighborcare Health at 45th Street Dental
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1578636346
-
dba Sealth Teen Health Center Dental
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1578817102
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1588877898
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1609089929
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1659672350
-
dba Ballard Homeless Dental Clinic
- Dental Clinic/Center
- Seattle, WA
- NPI 1659739373
-
dba Neighobrcare Health at Simons Senior Apartments
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1689236432
-
dba Neighborcare Health at the Morrison
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1700395928
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1720291032
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jennifer R Bell | Corporate Director | Jan 1, 2012 | |
| John R. Greenlee | Corporate Director | Jan 1, 1987 | |
| Holly S Ferraro | Corporate Director | Jan 1, 2012 | |
| Nancy I Douty | Corporate Director | Jan 1, 2005 | |
| Richard D Rubin | Corporate Director | Jan 1, 1988 | |
| Romulus D Lee | Corporate Director | Jan 1, 2010 | |
| Mark Secord | Corporate Officer | Dec 1, 1996 | |
| Barbara Shickich | Corporate Director | Jan 1, 2012 | |
| Fariba Etemadi-Nejad Alamdari | Corporate Director | Jan 1, 2009 | |
| Anthony Bozzuti | Corporate Director | Jan 1, 2009 | |
| Andrea Dahl | Corporate Director | Jan 1, 2001 | |
| Tamiko Miyano | Corporate Director | Jan 1, 2010 | |
| George E Parker | Corporate Director | Jan 1, 2001 | |
| Joyce K Lammert | Corporate Director | Jan 1, 2006 | |
| Charisse Marshall | W-2 Managing Employee | Nov 15, 2010 | |
| Allison B Rhoades | Corporate Director | Jan 1, 2011 | |
| Evelyn Picketts | Corporate Director | Jan 1, 2012 | |
| Janine L Childs | Corporate 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Neighborcare Health | Federally qualified health center | Operational/Managerial Control (100%) | Nov 26, 2013 |
| Neighborcare Health | Federally qualified health center | Operational/Managerial Control (100%) | Nov 25, 2013 |
| Neighborcare Health at Denny International Middle School | Federally qualified health center | Operational/Managerial Control (100%) | Jan 1, 2015 |
| Neighborcare Health at Dearborn Park International School | Federally qualified health center | Operational/Managerial Control (100%) | Apr 7, 2014 |
| Neighbor Care Health at Vashon Island High School | Federally qualified health center | Operational/Managerial Control (100%) | Aug 12, 1969 |
| Neighborcare Health at the Morrison | Federally qualified health center | Operational/Managerial Control (100%) | Aug 12, 1969 |
| Neighborcare Health at Magnuson | 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.
-
dba Neighborcare Health at Denny International Middle School
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1003975095
Operational/Managerial Control
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1073030508
Operational/Managerial Control
-
dba Neighborcare Health at Dearborn Park Internation School
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1225461908
Operational/Managerial Control
-
dba Neighborcare Health at Vashon Island High School
- Federally Qualified Health Center (FQHC)
- Vashon, WA
- NPI 1366969263
Operational/Managerial Control
-
dba Neighborcare Health at Chief Sealth International High School
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1730248642
Operational/Managerial Control
-
dba Neighborcare Health at West Seattle High School
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1770642696
Operational/Managerial Control
-
dba Neighborcare Health at Magnuson
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1881254449
Operational/Managerial Control
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
- Neighborcare Health
- Neighborcare Health (Ballard Homeless Dental Clinic)
- Neighborcare Health (Neighborcare Health at Roxhill Elementary)
- Neighborcare Health
- Neighborcare Health (Neighobrcare Health at Simons Senior Apartments)
- Neighborcare Health
- Neighborcare Health (Neighborcare Health at the Morrison)
- Neighborcare Health
- Neighborcare Health (Neighborcare Health at Chief Sealth International High School)
- Neighborcare Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.