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URB10642 SEATTLE INDIAN HEALTH BOARD (Active)
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Main Details
Name
SEATTLE INDIAN HEALTH BOARD
Subdivision Name
Type
Urban Indian
340B ID
URB10642
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
10/21/2008
Last Recertification Date
2/20/2025
Contacts
Authorizing Official
Seattle Indian Health Board
Esther Lucero, President/Chief Executive Officer
(206) 324-9360
Primary Contact
Seattle Indian Health Board
Terri Adams-Kincaid, Pharmacy Director
(206) 324-9360 Ext: 2622
Addresses
Street Address
611 12TH AVE S
SEATTLE, WA 98144
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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10/21/08 UPDATED ADDR (WAS 606 12TH AVENUE SOUTH);10/21/08 ADDED BILL TO
01/08/2010
April 2025
April 2025
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