Educational Service District 113 in Olympia - Rehabilitation, Substance Use Disorder
Educational Service District 113 - NPI 1851427710
Educational Service District 113 is a Rehabilitation, Substance Use Disorder in Olympia, Washington. Educational Service District 113 practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Educational Service District 113 is 1851427710. The last update date is 2008-03-13.
Educational Service District 113's current location address is 601 Mcphee Rd Sw, Olympia, Washington. You can contact this provider via phone number 3604646874. The mailing address for Educational Service District 113 is 601 Mcphee Rd Sw, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Educational Service District 113 |
|---|---|
| Address | 601 Mcphee Rd Sw, Olympia, Washington |
| Phone Number | 3604646874 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Vincent M Robert |
| Credentials | MA, CDP |
| Telephone Number | 3607902207 |
NPI Number Detail
| NPI Number | 1851427710 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2008-03-13 |
Provider Mailing Address Detail
| Address | 601 Mcphee Rd Sw |
|---|---|
| City | Olympia |
| State | Washington (WA) |
| Post Code | 985025080 |
| Phone Number | 3604646874 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Substance Use Disorder |
|---|---|
| Taxonomy | 261Qr0405X |
| Licence No | 34105700 |
|
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1993724 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Educational Service District 113 by the Centers for Medicare & Medicaid Services?
The Educational Service District 113 has been assigned the NPI (National Provider Identifier) 1851427710. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Educational Service District 113?
The Educational Service District 113 is physically situated at 601 Mcphee Rd Sw, in the city of Olympia, state of WA, with the postal code 985025080.
What is Educational Service District 113's specialized field of practice, and what is the corresponding taxonomy classification code?
The Educational Service District 113's area of specialization is Rehabilitation, Substance Use Disorder, and the corresponding taxonomy code that categorizes this field of practice is 261Qr0405X.
On what date did the Educational Service District 113 receive the assignment of its 1851427710 from the Centers for Medicare & Medicaid Services?
The Educational Service District 113 was issued its 1851427710 by the Centers for Medicare & Medicaid Services on 2007-02-26.
When was the information related to Educational Service District 113 most recently updated or refreshed?
The details pertaining to the Educational Service District 113, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-03-13.