WEST SOUND TREATMENT CENTER (POULSBO) NPI 1366837650

NPI Information

NPI: 1366837650
Provider Name: WEST SOUND TREATMENT CENTER (POULSBO)
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 50D2108446

Address:
19351 8TH AVE NE
SUITE # 204
POULSBO, WA
ZIP 98370
Phone: (360) 876-9430
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WEST SOUND TREATMENT CENTER (POULSBO) is a rehabilitation and substance use disorder clinic center in Poulsbo, WA. WEST SOUND TREATMENT CENTER (POULSBO) NPI is 1366837650. The provider is registered as an organization entity type.

The provider's business location address is:

19351 8TH AVE NE
SUITE # 204
POULSBO, WA
ZIP 98370-710
Phone: (360) 876-9430
Fax: (360) 876-0713

The provider's authorized official is Robin B O'grady .
The authorized official title is Executive Director and has the following contact phone number (360) 876-9430.

The CLIA number assigned to this NPI record is 50D2108446 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/2/2015 and was last updated on 4/2/2015.

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	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	600554448	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	18169700	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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