EVERGREEN TREATMENT SERVICES UNIT 5 NPI 1770638983

NPI Information

NPI: 1770638983
Provider Name: EVERGREEN TREATMENT SERVICES UNIT 5
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
6700 MARTIN WAY E
OLYMPIA, WA
ZIP 98516
Phone: (360) 413-6910
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EVERGREEN TREATMENT SERVICES UNIT 5 is a methadone clinic center in Olympia, WA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. EVERGREEN TREATMENT SERVICES UNIT 5 NPI is 1770638983. The provider is registered as an organization entity type.

The provider's business location address is:

6700 MARTIN WAY E
OLYMPIA, WA
ZIP 98516-502
Phone: (360) 413-6910
Fax: (360) 413-9026

The provider's authorized official is Margaret Carney .
The authorized official title is Executive Director and has the following contact phone number (206) 223-3644.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 4/11/2017.

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	261QM2800X	Clinic/Center	Methadone	34 1119 00	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	8008203	MEDICAID	WASHINGTON
2	1994243	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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