Organization Active NPI

Seattle King Co Dept of Public Health

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
National Provider Identifier
1780876284
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SEATTLE KING CO DEPT OF PUBLIC HEALTH
Practice address
401 5TH Ave # 1200
Seattle, WA 98104-2333
Phone
(206) 263-8673
NPI assigned
Aug 17, 2007
Last updated
Oct 13, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
KING COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Kevin Ardell Moe
Title
Practice Management Administrator
Phone
(206) 263-8807

Specialties & licenses 1

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

Addresses

Primary practice location

401 5TH Ave # 1200
Seattle, WA 98104-2333

Mailing address

401 5TH Ave # 1200
Seattle, WA 98104-2333
Phone (206) 263-8673

Other identifiers 1

IdentifierTypeStateIssuer
7590425MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Seattle King Co Health27 organizations share this tax ID, including this one
Part of
Seattle King Co Health

Other organizations with this tax ID 26

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

View all 26

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1780876284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 5TH AVE # 1200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042333",
            "telephone_number": "206-263-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 5TH AVE # 1200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042333",
            "telephone_number": "206-263-8673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE KING CO DEPT OF PUBLIC HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KING COUNTY",
        "enumeration_date": "2007-08-17",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "MOE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "ARDELL",
        "authorized_official_title_or_position": "PRACTICE MANAGEMENT ADMINISTRATOR",
        "authorized_official_telephone_number": "206-263-8807"
    },
    "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": "7590425",
            "state": "WA"
        }
    ],
    "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 Oct 13, 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.