SEATTLE INDIAN HEALTH BOARD
NPI 1114501947
Clinic/Center - Federally Qualified Health Center (FQHC) in Seattle, WA

Active since May 07, 2021CLIA Certified · 3 labs
12736 33RD AVE NE, SEATTLE, WA 98125(206) 324-9360 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Seattle Indian Health Board NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEATTLE INDIAN HEALTH BOARD (NPI 1114501947) is a healthcare organization registered as a federally qualified health center (fqhc) in Seattle, Washington and active in the NPI registry since May 2021. The organization holds 3 active CLIA laboratory certificates and lists Angela Lafontaine, Revenue Cycle Manager, as its authorized official.

NPPES Registry Identity

NPI1114501947
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSEATTLE INDIAN HEALTH BOARD
Location Address12736 33RD AVE NESeattle, WA 98125-4504
Mailing Address611 12th Ave SSeattle, WA 98144-2007 · (206) 324-9360
Organization SubpartYes
Authorized OfficialAngela LafontaineRevenue Cycle Manager · (206) 324-4036
Enumeration DateMay 7, 2021
NPPES CertifiedMay 7, 2021
NPI 1114501947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedPharmacyTaxonomy 333600000X
12736 33RD AVE NE, Seattle, WA 98125

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D0065434

Seattle Indian Health Board · Seattle, WA
Active · expires Apr 4, 2028
CLIA Number50D0065434
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMary Jane B. Doyle
Laboratory Phone(206) 324-9360
Laboratory LocationSeattle Indian Health Board611 12th Ave S, Seattle, WA 98144
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D2226674

Seattle Indian Health Board Lake City · Seattle, WA
Active · expires Apr 4, 2028
CLIA Number50D2226674
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 19, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorPeter Talbot
Laboratory Phone(206) 324-9360
Laboratory LocationSeattle Indian Health Board Lake City12736 33rd Ave NE Ste 200, Seattle, WA 98125
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D2267530

Seattle Indian Health Board · Seattle, WA
Active · expires Apr 4, 2028
CLIA Number50D2267530
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 16, 2023
Certificate Expiration DateApril 4, 2028
Laboratory DirectorPeter Talbot
Laboratory Phone(206) 324-9360
Laboratory LocationSeattle Indian Health Board124 2nd Ave S, Seattle, WA 98104
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Peer Specialist
12736 33RD AVE NE
SEATTLE, WA 98125
Substance Abuse Rehabilitation Facility
12736 33RD AVE NE
SEATTLE, WA 98125
Peer Specialist
12736 33RD AVE NE
SEATTLE, WA 98125
Family Medicine
12736 33RD AVE NE, SUITE 200
SEATTLE, WA 98125

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Seattle Indian Health Board's NPI number?

The NPI number for Seattle Indian Health Board is 1114501947. It was assigned to this organization in the NPPES registry on May 7, 2021.

Where is Seattle Indian Health Board located?

Seattle Indian Health Board is located at 12736 33rd Ave NE, Seattle, WA 98125. The listed phone number is (206) 324-9360.

What is Seattle Indian Health Board's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Seattle Indian Health Board hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Seattle Indian Health Board accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 30 other insurers list Seattle Indian Health Board as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Seattle Indian Health Board was last updated on May 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.