EVERGREEN RECOVERY CENTERS NPI 1215067319

NPI Information

  • NPI: 1215067319
  • Provider Name: EVERGREEN RECOVERY CENTERS
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Address: 2601 SUMMIT AVE
    EVERETT, WA
    ZIP 98201
  • Phone: (425) 258-2407

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NPI Details

EVERGREEN RECOVERY CENTERS is a substance abuse rehabilitation facility in Everett, 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. EVERGREEN RECOVERY CENTERS NPI is 1215067319. The provider is registered as an organization entity type.

The provider's business location address is:

2601 SUMMIT AVE
EVERETT, WA
ZIP 98201
Phone: (425) 258-2407
Fax: (425) 339-2601

The provider's authorized official is Kathy L Kain .
The authorized official title is Chief Quality Officer and has the following contact phone number (425) 343-4599.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 5/16/2025.

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
1324500000XSubstance Abuse Rehabilitation Facility31 0108 01WASHINGTONYes

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
11995133MEDICAIDWASHINGTON

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: 11/21/2025

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