SEATTLE INDIAN HEALTH BOARD
NPI 1154469104
Clinic/Center - Federally Qualified Health Center (FQHC) in Seattle, WA

NPI Status: Active since February 02, 2007

Contact Information

611 12TH AVE S
SEATTLE, WA
ZIP 98144
Phone: (206) 324-9360
Fax: (206) 324-8910

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 50D2267530
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 04-04-2028

About SEATTLE INDIAN HEALTH BOARD

This page provides the complete NPI Profile along with additional information for Seattle Indian Health Board, a primary care provider established in Seattle, Washington operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1154469104 assigned on February 2007. The practitioner's primary taxonomy code is 261QF0400X with license number 600440936 (WA). The provider is registered as an organization and their NPI record was last updated 4 years ago. Seattle Indian Health Board operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ms. Esther Lucero Mpp (Executive Director)

NPI
1154469104
Provider Name
SEATTLE INDIAN HEALTH BOARD
Entity Type
Organization
Location Address
611 12TH AVE S SEATTLE, WA 98144
Location Phone
(206) 324-9360
Location Fax
(206) 324-8910
Mailing Address
611 12TH AVE S SEATTLE, WA 98144
Mailing Phone
(206) 324-9360
Mailing Fax
(206) 324-8910
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-02-2007
Last Update Date
04-08-2022
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A primary care provider (PCP) like Seattle Indian Health Board sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities
License No.
600440936
License State
WA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 
2261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. ESTHER LUCERO MPP

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(206) 324-9360

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1990878MEDICAID (05)WA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D2267530
Facility Type
Community Clinic
Certificate Effective Date
November 16, 2023
Certificate Expiration Date
April 04, 2028
Laboratory Director
PETER TALBOT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Seattle Indian Health Board to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SEATTLE INDIAN HEALTH BOARD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154469104, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 4 → 8 9 → 18 → 9 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 8 + 6 + 1 + 8 + 1 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1154469104.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
611 12TH AVE S
SEATTLE, WA 98144
Physician Assistant
611 12TH AVE S, SUITE 200
SEATTLE, WA 98144
Social Worker
611 12TH AVE S, SUITE 200
SEATTLE, WA 98144
Counselor (Mental Health)
611 12TH AVE S
SEATTLE, WA 98144
Dentist (General Practice)
611 12TH AVE S, SUITE 200
SEATTLE, WA 98144
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
611 12TH AVE S
SEATTLE, WA 98144
Pharmacist
611 12TH AVE S
SEATTLE, WA 98144
Dental Hygienist
611 12TH AVE S, SUITE 200
SEATTLE, WA 98144
Family Medicine
611 12TH AVE S
SEATTLE, WA 98144
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
611 12TH AVE S
SEATTLE, WA 98144
Dietitian, Registered
611 12TH AVE S
SEATTLE, WA 98144
Social Worker (Clinical)
611 12TH AVE S
SEATTLE, WA 98144
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
611 12TH AVE S
SEATTLE, WA 98144
Dentist (General Practice)
611 12TH AVE S
SEATTLE, WA 98144
Counselor (Addiction (Substance Use Disorder))
611 12TH AVE S
SEATTLE, WA 98144
Counselor (Addiction (Substance Use Disorder))
611 12TH AVE S
SEATTLE, WA 98144
Counselor (Addiction (Substance Use Disorder))
611 12TH AVE S
SEATTLE, WA 98144
Pharmacist (Ambulatory Care)
611 12TH AVE S
SEATTLE, WA 98144
Counselor (Addiction (Substance Use Disorder))
611 12TH AVE S
SEATTLE, WA 98144
Counselor (Mental Health)
611 12TH AVE S
SEATTLE, WA 98144

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154469104, enumerated as an "organization" on February 02, 2007.

The provider is located at 611 12TH AVE S SEATTLE, WA 98144 and the phone number is (206) 324-9360.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.