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NPI Code Detail

MEDICARE: NEIGHBORCARE HEALTH

MEDICARE: NEIGHBORCARE HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
150D0631474OTHERWACLIA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285664227
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEIGHBORCARE HEALTH
Provider Business Mailing Address
First Line : 1200 12TH AVE S STE 901
Second Line :
City : SEATTLE
State : WA
Zip : 98144-2712
Country : US
Telephone Number : 206-548-3114
Fax Number : 206-962-2342
Provider Business Practice Location Address
First Line : 1629 N 45TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98103-6701
Country : US
Telephone Number : 206-633-3350
Fax Number : 206-633-3113
Authorized Official
Title or Position : DIRECTOR OF REVENUE CYCLE
Name : CHARISSE MARSHALL
Credential :
Telephone Number : 206-548-3102
Provider Enumeration Date : 07/04/2006
Last Update Date : 09/10/2025

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Directions to “NEIGHBORCARE HEALTH ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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