Organization Active NPI

Seattle Indian Health Board

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
National Provider Identifier
1750960035
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SEATTLE INDIAN HEALTH BOARD
Practice address
124 2ND Ave S
Seattle, WA 98104-5168
Phone
(206) 324-9360
NPI assigned
Apr 5, 2021
Last updated
Sep 15, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SEATTLE INDIAN HEALTH BOARDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Authorized official

Name
Angela Lafontaine
Title
Community Relations Manager
Phone
(206) 324-4036

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

124 2ND Ave S
Seattle, WA 98104-5168

Mailing address

611 12TH Ave S
Seattle, WA 98144-2007

National Provider Directory

National Provider Directory
Tax ID family
Seattle Indian Health Board17 organizations share this tax ID, including this one
Part of
Seattle Indian Health Board

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1750960035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 12TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 2ND AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981045168",
            "telephone_number": "206-324-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE INDIAN HEALTH BOARD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEATTLE INDIAN HEALTH BOARD",
        "enumeration_date": "2021-04-05",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "LAFONTAINE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "COMMUNITY RELATIONS MANAGER",
        "authorized_official_telephone_number": "206-324-4036"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 15, 2022; 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.