NEIGHBORCARE HEALTH (NPI# 1578593562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578593562 |
| Entity Type | Organization |
| Organization Name | NEIGHBORCARE HEALTH |
| Other Organization Name | PUGET SOUND NEIGHBORHOOD HEALTH CENTERS |
| Practice Address |
1200 12th Ave S Ste 901 Seattle WA 98144-2712 |
| Mailing Address |
1200 12th Ave South Suite 901 Seattle WA 98144 |
| Practice Telephone | (206) 461-6935 |
| Practice Fax Number | 2064618382 |
| Mailing Telephone | 2065483114 |
| Mailing Fax Number | 2067626355 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2017-07-26 |
| Authorized Official Name | MR. MICHAEL ERIKSON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2064616935 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L&I | 32120 | 01 |
| WA | 7034176 | 05 | |
| WA | 7401953 | 05 |
| Other Name | Type Code |
|---|---|
| Puget Sound Neighborhood Health Centers | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185694 | Neighborcare Health | Clinic/Center | 2709 3rd Ave, Seattle, WA 98121-1217 | 2019-10-09 |
| 1881254449 | Neighborcare Health | Clinic/Center | 7101 62nd Ave Ne Ste 4, Seattle, WA 98115-7168 | 2019-06-17 |
| 1578028866 | Neighborcare Health | Clinic/Center | 2119 3rd Ave, Seattle, WA 98121-2333 | 2019-01-31 |
| 1073030508 | Neighborcare Health | Clinic/Center | 509 3rd Ave, Seattle, WA 98104-3282 | 2017-08-25 |
| 1366969263 | Neighborcare Health | Clinic/Center | 9600 Sw 204th St, Vashon, WA 98070-6135 | 2017-08-23 |
| 1144629908 | Neighborcare Health | Clinic/Center | 13555 Aurora Ave N, Seattle, WA 98133-7511 | 2014-08-18 |
| 1225461908 | Neighborcare Health | Clinic/Center | 2820 S Orcas St, Seattle, WA 98108-3066 | 2013-08-16 |
| 1184057150 | Neighborcare Health | Clinic/Center | 6760 34th Ave Sw, Seattle, WA 98126-4208 | 2013-08-14 |
| 1679825988 | Neighborcare Health | Clinic/Center | 7740 34th Ave Sw, Seattle, WA 98126-3503 | 2012-10-10 |
| 1275808214 | Neighborcare Health | Family Medicine | 1753 Nw 56th St Ste 200, Seattle, WA 98107-5279 | 2012-03-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NEIGHBORCARE HEALTH | 1200 12th Ave S Ste 901, Seattle, WA 98144-2712 |
| Street Address |
1200 12TH AVE S STE 901 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98144-2712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215441365 | Tracy A. Cook | Dental Hygienist | 1200 12th Ave S Ste 901, Seattle, WA 98144-2712 | 2017-11-28 |
| 1700395928 | Neighborcare Health | Clinic/Center | 1200 12th Ave S Ste 901, Seattle, WA 98144-2712 | 2017-09-20 |
| 1255858783 | Neighborcare Health | Clinic/Center | 1200 12th Ave S Ste 901, Seattle, WA 98144-2712 | 2017-08-25 |
| 1407221781 | Kristen Fernandez | Dental Hygienist | 1200 12th Ave S Ste 901, Seattle, WA 98144-2712 | 2015-12-11 |
| 1104161496 | Neighborcare Health | Clinic/Center | 1200 12th Ave S Ste 901, Seattle, WA 98144-2712 | 2012-11-28 |
| 1356690580 | Won-fong K. Lau | Psychologist | 1200 12th Ave S Ste 901, Seattle, WA 98144-2712 | 2012-09-04 |
| 1831416056 | Chung-wei Kao | Dentist | 1200 12th Ave S Ste 901, Seattle, WA 98144 | 2010-04-27 |
| 1083843569 | Angela Bernadette Guiao-martinez | Dentist | 1200 12th Ave S Ste 901, Seattle, WA 98144-2712 | 2009-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558975235 | Miranda Plummer | Counselor | 2122 S Jackson Street, Seattle, WA 98144 | 2020-09-01 |
| 1891337457 | Alyson Paris | Counselor | 2100 24th Ave S, Suite 260, Seattle, WA 98144 | 2019-10-15 |
| 1912558370 | Marco Antonio Medina Sotelo | Counselor | 113 23rd Avenue South, Seattle, WA 98144 | 2019-09-26 |
| 1952865909 | John Thomas Hogan | Counselor | 1600 S Lane, Seattle, WA 98144 | 2019-01-23 |
| 1134693856 | Kimo Martin | Peer Specialist | 1600 Lane St, Seattle, WA 98144 | 2019-01-15 |
| 1952875791 | Rainier Chiropractic Accident and Injury Ps | Massage Therapist | 2326 Rainier Ave S, Ste B, Seattle, WA 98144 | 2019-01-15 |
| 1174097083 | Seann M Combs | Counselor | 1600 S Lane St, Seattle, Wa 98144, Seattle, WA 98144 | 2019-01-14 |
| 1922571587 | Cristina Wirkala | Registered Nurse | Crisis Solutions Center, 1600 South Lane Street, Seattle, WA 98144 | 2019-01-07 |
| 1215405162 | Vickie Barron | Counselor | 3401 Rainier Ave S, Suite B, Seattle, WA 98144 | 2018-11-08 |
| 1164906509 | Julie Seddon Cabell | Counselor | Central Youth and Family Services, 1901 Mlk Jr Way S., Seattle, WA 98144 | 2018-09-21 |
| Find all providers in zip 98144 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235778812 | Seattle Indian Health Board | Clinic/Center | 410 2nd Avenue Ext S, Seattle, WA 98104-2876 | 2019-12-31 |
| 1376185694 | Neighborcare Health | Clinic/Center | 2709 3rd Ave, Seattle, WA 98121-1217 | 2019-10-09 |
| 1295383958 | King County Finance | Clinic/Center | 908 Jefferson St Fl 11, Seattle, WA 98104-2433 | 2019-08-27 |
| 1881254449 | Neighborcare Health | Clinic/Center | 7101 62nd Ave Ne Ste 4, Seattle, WA 98115-7168 | 2019-06-17 |
| 1578028866 | Neighborcare Health | Clinic/Center | 2119 3rd Ave, Seattle, WA 98121-2333 | 2019-01-31 |
| 1073030508 | Neighborcare Health | Clinic/Center | 509 3rd Ave, Seattle, WA 98104-3282 | 2017-08-25 |
| 1144629908 | Neighborcare Health | Clinic/Center | 13555 Aurora Ave N, Seattle, WA 98133-7511 | 2014-08-18 |
| 1225461908 | Neighborcare Health | Clinic/Center | 2820 S Orcas St, Seattle, WA 98108-3066 | 2013-08-16 |
| 1184057150 | Neighborcare Health | Clinic/Center | 6760 34th Ave Sw, Seattle, WA 98126-4208 | 2013-08-14 |
| 1679825988 | Neighborcare Health | Clinic/Center | 7740 34th Ave Sw, Seattle, WA 98126-3503 | 2012-10-10 |
| Find all providers in SEATTLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.