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CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON NPI 1750634275


NPI Information

NPI: 1750634275
Provider Name: CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON

Doing Business As: MATT TALBOT CENTER

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

Specialization: Rehabilitation, Substance Use Disorder

Address:
100 23RD AVE S
SEATTLE, WA
ZIP 98144
Phone: (206) 328-5771
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CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON is a rehabilitation and substance use disorder clinic center in Seattle, WA. CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON NPI is 1750634275. The provider is registered as an organization entity type.
The provider Is Doing Business As Matt Talbot Center.

The provider's business location address is:

100 23RD AVE S
SEATTLE, WA
ZIP 98144-302
Phone: (206) 328-5771

The provider's authorized official is Stephanie M. Thelen .
The authorized official title is Compliance & Policy Analyst and has the following contact phone number (253) 761-3898.

The enumeration date for this NPI number is 10/22/2012 and was last updated on 10/15/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder17138600WASHINGTONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11055150MEDICAIDWASHINGTON

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.