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THE VALLEY ALCOHOL COUNCIL NPI 1043332133


NPI Information

NPI: 1043332133
Provider Name: THE VALLEY ALCOHOL COUNCIL

Doing Business As: MERIT RESOURCE SERVICES

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
200 E 3RD AVE
ELLENSBURG, WA
ZIP 98926
Phone: (509) 925-9821
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THE VALLEY ALCOHOL COUNCIL is a rehabilitation and substance use disorder clinic center in Ellensburg, WA. THE VALLEY ALCOHOL COUNCIL NPI is 1043332133. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Merit Resource Services.

The provider's business location address is:

200 E 3RD AVE
ELLENSBURG, WA
ZIP 98926-347
Phone: (509) 925-9821
Fax: (509) 925-9073

The provider's authorized official is Shereen Hunt .
The authorized official title is Executive Director and has the following contact phone number (509) 837-7700.

The enumeration date for this NPI number is 4/6/2007 and was last updated on 2/26/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3261QR0405XClinic/CenterRehabilitation, Substance Use Disorder19 1740 00WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11001133MEDICAIDWASHINGTON
22055749MEDICAIDWASHINGTON
3BHA.FS.60873170OTHERWASHINGTONDOH LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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