CASCADE COMMUNITY HEALTHCARE NPI 1619068624

NPI Information

  • NPI: 1619068624
  • Provider Name: CASCADE COMMUNITY HEALTHCARE
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Doing Business As: CASCADE MENTAL HEALTH CARE
  • CLIA Number: 50D2090749
  • Address: 2428 W REYNOLDS AVE
    CENTRALIA, WA
    ZIP 98531
  • Phone: (360) 330-9044

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NPI Details

CASCADE COMMUNITY HEALTHCARE is a community behavioral health in Centralia, WA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. CASCADE COMMUNITY HEALTHCARE NPI is 1619068624. The provider is registered as an organization entity type.
The provider Is Doing Business As Cascade Mental Health Care.

The provider's business location address is:

2428 W REYNOLDS AVE
CENTRALIA, WA
ZIP 98531
Phone: (360) 330-9044

The provider's authorized official is Pamela Trumble .
The authorized official title is Credentialing and has the following contact phone number (360) 330-9044.

The CLIA number assigned to this NPI record is 50D2090749 - other - community mental health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 7/16/2024.

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
1251S00000XCommunity/Behavioral HealthYes
2320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo

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
17035090MEDICAIDWASHINGTON

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: 3/30/2025

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