NPI |
1376013250 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
Entity Type Code |
2 |
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual
human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO). |
Employer Identification Number EIN |
|
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual
human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO). |
Provider Organization Name Legal Business Name |
UNITY CARE NORTHWEST |
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual
human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO). |
Provider First Line Business Practice Location Address |
6060 PORTAL WAY |
The country code in the location address of the provider being identified. |
Provider Business Practice Location Address City Name |
FERNDALE |
The first name of the provider, if the provider
is an individual. |
Provider Business Practice Location Address State Name |
WA |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
Provider Business Practice Location Address Postal Code |
982487833 |
The date that a record was last updated or changed. |
Provider Business Practice Location Address Country Code If outside U S |
US |
The first name of the provider, if the provider
is an individual. |
Provider Business Practice Location Address Telephone Number |
3606766177 |
The middle name of the provider, if the provider
is an individual. |
Provider Business Practice Location Address Fax Number |
3606713574 |
The country code in the location address of the provider being identified. |
Provider Enumeration Date |
12/4/2018 |
The 10-position telephone number of the authorized official. |
Last Update Date |
9/30/2020 |
Code designating the provider type, classification,
and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1. |
Authorized Official Last Name |
JOYCE |
|
Authorized Official First Name |
JODI |
The first name of the authorized official. |
Authorized Official Title or Position |
CHIEF EXECUTIVE OFFICER |
The title or position of the authorized official. |
Authorized Official Telephone Number |
3606766177 |
The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code 1 |
251S00000X |
Code designating the provider type, classification,
and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1. |
Healthcare Provider Primary Taxonomy Switch 1 |
N |
|
Healthcare Provider Taxonomy Code 2 |
261QF0400X |
|
Healthcare Provider Primary Taxonomy Switch 2 |
Y |
|
Other Provider Identifier 1 |
2127212 |
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form. |
Other Provider Identifier Type Code 1 |
05 |
Code indicating the type of identifier currently
or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form. |
Other Provider Identifier State 1 |
WA |
|
Is Organization Subpart |
N |
|
NPI Certification Date |
9/30/2020 |
|