CHEHALIS TSAPOWUM MENTAL HEALTH NPI 1043636442

NPI Information

NPI: 1043636442
Provider Name: CHEHALIS TSAPOWUM MENTAL HEALTH
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
420 HOWANUT RD
OAKVILLE, WA
ZIP 98568
Phone: (360) 709-1628
Get Directions

CHEHALIS TSAPOWUM MENTAL HEALTH is an adult mental health clinic center in Oakville, WA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. CHEHALIS TSAPOWUM MENTAL HEALTH NPI is 1043636442. The provider is registered as an organization entity type.

The provider's business location address is:

420 HOWANUT RD
OAKVILLE, WA
ZIP 98568-659
Phone: (360) 709-1628
Fax: (360) 273-8957

The provider's authorized official is Gary Goodwin .
The authorized official title is System Administrator and has the following contact phone number (360) 867-0709.

The enumeration date for this NPI number is 3/10/2014 and was last updated on 3/10/2014.

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
1	261QM0850X	Clinic/Center	Adult Mental Health	14 0096 00	WASHINGTON	Yes

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
1	1008323	OTHER	WASHINGTON	MEDICAID PROVIDER ONE DOMAIN ID
2	1346383379	OTHER	WASHINGTON	CHEHALIS MEDICAL NPI

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

NPI Synchronization or Removal

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