COUNTY OF PIERCE NPI 1134334212

NPI Information

NPI: 1134334212
Provider Name: COUNTY OF PIERCE

Doing Business As: PIERCE COUNTY RESIDENTIAL TREATMENT FACILITY

Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization
Address:
3580 PACIFIC AVE
TACOMA, WA
ZIP 98418
Phone: (253) 798-4500
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COUNTY OF PIERCE is an intermediate care facility mental illness in Tacoma, WA. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. COUNTY OF PIERCE NPI is 1134334212. The provider is registered as an organization entity type.
The provider Is Doing Business As Pierce County Residential Treatment Facility.

The provider's business location address is:

3580 PACIFIC AVE
TACOMA, WA
ZIP 98418-915
Phone: (253) 798-4500
Fax: (253) 798-4255

The provider's authorized official is David E. Stewart .
The authorized official title is Director and has the following contact phone number (253) 798-4500.

The enumeration date for this NPI number is 5/11/2007 and was last updated on 10/10/2007.

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	310500000X	Intermediate Care Facility, Mental Illness		RTF-1077	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	146315	OTHER	WASHINGTON	L&I
2	GAB20114	MEDICARE PIN	WASHINGTON
3	7136344	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: 4/28/2024

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