Organization Active NPI

Seattle-King County Dept. of Public Health

  • Public Health or Welfare Agency
  • Tukwila, WA
National Provider Identifier
1821155953
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
DI 00000539 Issued in WA
Legal business name
SEATTLE-KING COUNTY DEPT. OF PUBLIC HEALTH
Practice address
13030 Military Rd S
Tukwila, WA 98168-3085
Phone
(206) 242-0885
Fax
(206) 242-8558
NPI assigned
Jan 1, 2007
Organization subpart
No

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
Public Health or Welfare Agency 251K00000X DI 00000539 WA Primary

Addresses

Primary practice location

13030 Military Rd S
Tukwila, WA 98168-3085

Mailing address

13812 SE 51St PL
Bellevue, WA 98006-3474
Phone (425) 562-8715

Other identifiers 1

IdentifierTypeStateIssuer
7600422MedicaidWA

National Provider Directory

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

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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1821155953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13812 SE 51ST PL",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980063474",
            "telephone_number": "425-562-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13030 MILITARY RD S",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981683085",
            "telephone_number": "206-242-0885",
            "fax_number": "206-242-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE-KING COUNTY DEPT. OF PUBLIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-01",
        "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": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WA",
            "license": "DI 00000539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7600422",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, 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.