LIFELINE CONNECTIONS NPI 1689892473

NPI Information

NPI: 1689892473
Provider Name: LIFELINE CONNECTIONS
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1601 E FOURTH PLAIN BLVD
BUILDING 17
VANCOUVER, WA
ZIP 98661
Phone: (360) 397-8246
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LIFELINE CONNECTIONS is a substance abuse rehabilitation facility in Vancouver, WA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. LIFELINE CONNECTIONS NPI is 1689892473. The provider is registered as an organization entity type.

The provider's business location address is:

1601 E FOURTH PLAIN BLVD
BUILDING 17
VANCOUVER, WA
ZIP 98661-753
Phone: (360) 397-8246

The provider's authorized official is Kinh Reynolds .
The authorized official title is Cfo and has the following contact phone number (360) 397-8246.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 3/1/2023.

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	251S00000X	Community/Behavioral Health				No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No
4	207Q00000X	Family Medicine				No
5	251B00000X	Case Management				No
6	324500000X	Substance Abuse Rehabilitation Facility		RTF - 1075	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	1990126	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

NPI Synchronization or Removal

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