NOOKSACK CENTRAL MANAGEMENT SYSTEM NPI 1578778189

NPI Information

NPI: 1578778189
Provider Name: NOOKSACK CENTRAL MANAGEMENT SYSTEM

Other Name: THE NOOKSACK HOPE BEHAVIORAL HEALTH PROGRAM

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
6760 MISSION RD
EVERSON, WA
ZIP 98247
Phone: (360) 966-4150
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NOOKSACK CENTRAL MANAGEMENT SYSTEM is a mental health counselor in Everson, WA. NOOKSACK CENTRAL MANAGEMENT SYSTEM NPI is 1578778189. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is The Nooksack Hope Behavioral Health Program.

The provider's business location address is:

6760 MISSION RD
EVERSON, WA
ZIP 98247-749
Phone: (360) 966-4150
Fax: (360) 966-4111

The provider's authorized official is Eric R Davenport .
The authorized official title is Governmental Service Executive and has the following contact phone number (360) 592-5176.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 10/3/2011.

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	101YM0800X	Counselor	Mental Health		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	1981018	MEDICAID	WASHINGTON

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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