CATHOLIC COMMUNITY SERVICES WESTERN WASHINGTON NPI 1669645073

NPI Information

NPI: 1669645073
Provider Name: CATHOLIC COMMUNITY SERVICES WESTERN WASHINGTON

Doing Business As: CCS RECOVERY CENTER-SNOHOMISH

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
2610 WETMORE AVE
EVERETT, WA
ZIP 98201
Phone: (425) 258-5270
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CATHOLIC COMMUNITY SERVICES WESTERN WASHINGTON is a rehabilitation and substance use disorder clinic center in Everett, WA. CATHOLIC COMMUNITY SERVICES WESTERN WASHINGTON NPI is 1669645073. The provider is registered as an organization entity type.
The provider Is Doing Business As Ccs Recovery Center-snohomish.

The provider's business location address is:

2610 WETMORE AVE
EVERETT, WA
ZIP 98201-927
Phone: (425) 258-5270
Fax: (425) 258-5275

The provider's authorized official is Donna M Wells .
The authorized official title is Director and has the following contact phone number (360) 676-2187.

The enumeration date for this NPI number is 4/7/2008 and was last updated on 5/14/2014.

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	31034400	WASHINGTON	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	31085700	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	1994771	MEDICAID	WASHINGTON
2	1990373	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: 4/28/2024

NPI Synchronization or Removal

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