NEIGHBORCARE HEALTH (NPI# 1962754713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962754713 |
| Entity Type | Organization |
| Organization Name | NEIGHBORCARE HEALTH |
| Other Organization Name | NEIGHBORCARE HEALTH AT LAKE CITY |
| Practice Address |
12721 30th Ave Ne Ste 101 Seattle WA 98125-4498 |
| Mailing Address |
1200 12th Ave South Suite 901 Seattle WA 98144 |
| Practice Telephone | 2064170326 |
| Practice Fax Number | 2064170783 |
| Mailing Telephone | 2065483114 |
| Mailing Fax Number | 2067626355 |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2018-01-12 |
| 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 |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | CMS CERTIFICATION | 501965 | 01 |
| Other Name | Type Code |
|---|---|
| Neighborcare Health at Lake City | Doing Business As 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 |
12721 30TH AVE NE STE 101 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98125-4498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760490320 | Karen Krahn Stodola | Physician Assistant | 12721 30th Ave Ne, Suite101, Seattle, WA 98125-4498 | 2006-08-03 |
| 1417052648 | Dennis J. Haack | Family Medicine | 12721 30th Ave Ne, Seattle, WA 98125-4498 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771494 | Erin Renee Blood | Behavior Technician | 14301 30th Ave Ne, Seattle, WA 98125 | 2019-10-09 |
| 1023587912 | Ami Tsuchiya | Physical Therapist | 2611 Ne 125th St, Suite 90, Seattle, WA 98125 | 2018-11-20 |
| 1730603556 | Lauren Morgan | Counselor | 10125 Lake City Way Ne, Seattle, WA 98125 | 2017-08-02 |
| 1427572353 | Beverly Ann Williamson | Counselor | Community Psychiatric Clinic, 11000 Lake City Way, Ne, Seattle, WA 98125 | 2017-08-02 |
| 1902320229 | Lillian Marilynanne Olin | Nurse's Aide | 12728 28th Ave Ne Apt 510, Seattle, WA 98125 | 2017-07-28 |
| 1760913743 | Ariel Alon | Counselor | 13325 31st Ave Ne, Seattle, WA 98125 | 2017-03-22 |
| 1154872380 | Jean Hung | Naturopath | 12317 15th Ave Ne Suite #103, Seattle, WA 98125 | 2016-10-24 |
| 1063806438 | Hope Health Senior Care | Clinic/Center | 507ne Northgate Way, Suite #441, Seattle, WA 98125 | 2015-03-24 |
| 1073938585 | Lily Jei-ho Chang | Acupuncturist | 12710 102nd Ave Ne, Kirkland, WA 98125 | 2014-02-20 |
| 1033548177 | George Ray Coleman | Naturopath | 12520 26th Ave Ne, Unit B, Seattle, WA 98125 | 2013-11-08 |
| Find all providers in zip 98125 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on NEIGHBORCARE HEALTH.
| 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.