COUNCIL ON AGING & HUMAN SERVICES NPI 1609072016

NPI Information

NPI: 1609072016
Provider Name: COUNCIL ON AGING & HUMAN SERVICES
Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
Entity Type: Organization

Specialization: Parenteral & Enteral Nutrition

Address:
210 S MAIN ST
COLFAX, WA
ZIP 99111
Phone: (509) 394-4611
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COUNCIL ON AGING & HUMAN SERVICES is a parenteral and enteral nutrition durable medical equipment medical supplies in Colfax, WA. COUNCIL ON AGING & HUMAN SERVICES NPI is 1609072016. The provider is registered as an organization entity type.

The provider's business location address is:

210 S MAIN ST
COLFAX, WA
ZIP 99111-820
Phone: (509) 394-4611
Fax: (509) 397-2917

The provider's authorized official is Scott Hallett .
The authorized official title is Nutrition Program Director and has the following contact phone number (509) 397-4611.

The enumeration date for this NPI number is 6/22/2007 and was last updated on 8/22/2020.

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	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition			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	9030859	MEDICAID	WASHINGTON
2	051992	OTHER	WASHINGTON	SSPS - COPES

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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