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

Active since February 02, 2007
611 12TH AVE S, SEATTLE, WA 98144(206) 324-9360(206) 324-8910 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2022, Mar 12, 2021, Dec 30, 2020 (3 updates tracked since 2020).

About Seattle Indian Health Board NPPES

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

SEATTLE INDIAN HEALTH BOARD (NPI 1154469104) is a healthcare organization registered as a federally qualified health center (fqhc) in Seattle, Washington and active in the NPI registry since February 2007. The organization lists Esther Lucero, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1154469104
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSEATTLE INDIAN HEALTH BOARD
Location Address611 12TH AVE SSeattle, WA 98144-1910
Mailing Address611 12th Ave SSeattle, WA 98144-1910 · (206) 324-9360 · Fax (206) 324-8910
Phone(206) 324-9360
Fax(206) 324-8910
Organization SubpartNo
Authorized OfficialEsther LuceroExecutive Director · (206) 324-9360
Enumeration DateFebruary 2, 2007
Last NPPES UpdateApril 8, 20223 updates tracked since enumeration
NPPES CertifiedApril 8, 2022
✔ NPI 1154469104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in WA · 600440936
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
611 12TH AVE S, Seattle, WA 98144
Open in Google Maps ↗

Other Identifiers 1

Medicaid1990878WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

ADRIAN MARGARET BAILEY LH
Counselor (Mental Health)
611 12TH AVE S
SEATTLE, WA 98144
King County (206) 324-9360
CHRISTOPHER H GAYNOR MD
Family Medicine
611 12TH AVE S, SUITE 200
SEATTLE, WA 98144
King County (206) 324-9360
MS. ROBERTA L FLETCHER CDP
Counselor (Addiction (Substance Use Disorder))
611 12TH AVE S
SEATTLE, WA 98144
King County (206) 834-4029
COLLEEN OLIVIA D'AMICO PHARMD
Pharmacist (Ambulatory Care)
611 12TH AVE S
SEATTLE, WA 98144
King County (206) 324-9360
BEVERLY PRICE LPN
Licensed Practical Nurse
611 12TH AVE S
SEATTLE, WA 98144
King County (206) 324-9360
HONG PHUC THI LE PHARM.D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
611 12TH AVE S
SEATTLE, WA 98144
King County (206) 324-9360
MRS. SHAWNA FAY GALLAGHER M.S.W
Social Worker (Clinical)
611 12TH AVE S
SEATTLE, WA 98144
King County (206) 324-9360
KAROL LEA PARKER MSW
Social Worker (Clinical)
611 12TH AVE S
SEATTLE, WA 98144
King County (206) 324-9360

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 1154469104. It was assigned to this organization in the NPPES registry on February 2, 2007.

Where is Seattle Indian Health Board located?

Seattle Indian Health Board is located at 611 12th Ave S, Seattle, WA 98144. 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.

When was this NPI record last updated?

The NPPES record for Seattle Indian Health Board was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.