THE VALLEY ALCOHOL COUNCIL (NPI# 1043332133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043332133 |
| Entity Type | Organization |
| Organization Name | THE VALLEY ALCOHOL COUNCIL |
| Other Organization Name | MERIT RESOURCE SERVICES |
| Practice Address |
200 E 3rd Ave Ellensburg WA 98926-3347 |
| Mailing Address |
Po Box 1039 Ellensburg WA 98926-1926 |
| Practice Telephone | 5099259821 |
| Practice Fax Number | 5099259073 |
| Mailing Telephone | 5099259821 |
| Mailing Fax Number | 5099633941 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-07-14 |
| Authorized Official Name | MR. DAVID L WILSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5098377700 |
| Authorized Official Credential | CDP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
19 1740 00 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DOH LICENSE | BHA.FS.60873170 | 01 |
| WA | 1001133 | 05 | |
| WA | 2055749 | 05 |
| Other Name | Type Code |
|---|---|
| MERIT Resource Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811033582 | The Valley Alcohol Council | Counselor | 312 W 2nd St, Wapato, WA 98951-1110 | 2007-01-30 |
| 1548306210 | The Valley Alcohol Council | Counselor | 315 N 2nd St, Yakima, WA 98901-2334 | 2007-01-30 |
| 1649316316 | The Valley Alcohol Council | Counselor | 321 W 1st Ave, Toppenish, WA 98948-1527 | 2007-01-30 |
| 1609937200 | The Valley Alcohol Council | Clinic/Center | 7510 W. Deschutes Place, Kennewick, WA 99336-7719 | 2006-12-13 |
| 1366540494 | The Valley Alcohol Council | Counselor | 702 Franklin Ave, Sunnyside, WA 98944-2273 | 2006-09-20 |
| Street Address |
200 E 3RD AVE |
| City | ELLENSBURG |
| State | WA |
| Zip Code | 98926-3347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667268 | Angela Lynn Dietrich | Peer Specialist | 200 E 3rd Ave, Ellensburg, WA 98926-3347 | 2020-10-23 |
| 1548884604 | Debbie Ann Lavelle | Counselor | 200 E 3rd Ave, Ellensburg, WA 98926-3347 | 2020-06-04 |
| 1861971814 | Chad Warren Morris | Counselor | 200 E 3rd Ave, Ellensburg, WA 98926-3347 | 2018-08-10 |
| 1477032597 | Melissa Frances Simmons | Counselor | 200 E 3rd Ave, Ellensburg, WA 98926-3347 | 2018-08-09 |
| 1871031757 | Dawn Bass | Counselor | 200 E 3rd Ave, Ellensburg, WA 98926-3347 | 2017-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407286214 | Sarah Rae | Occupational Therapist | 1050 E Mountian View Ave, Ellensburg, WA 98926 | 2013-11-14 |
| 1366885691 | Leslie-ann Fox I | Pharmacist | 521 East Mountain View Ave, Ellensburg, WA 98926 | 2013-04-17 |
| 1972877330 | Terri Lee Hughes | Pharmacist | 608 E Mountainview, Ellensburg, WA 98926 | 2012-03-02 |
| 1366716789 | Eiko Hama | Pharmacist | 608 E Mountain View, Ellensburg, WA 98926 | 2012-03-02 |
| 1689971228 | Carolyn Jeannette Brunk | Massage Therapist | 814 East 5th Avenue, Ellensburg, WA 98926 | 2011-02-17 |
| 1275862468 | Creekside Dental Ellensburg Pllc | Dentist | 2601 Triple L Loop, Ellensburg, WA 98926 | 2009-12-17 |
| 1659605038 | Michael Alan Patin | Pharmacist | 700 S. Main St., Ellensburg, WA 98926 | 2009-10-01 |
| 1538391040 | Brenden J Davis | Dentist | 1206 N Dolarway Rd Ste 208, Ellensburg, WA 98926 | 2009-08-17 |
| 1821206186 | Peggy Elaine Erickson | Massage Therapist | 314 E 4th, Ellensburg, WA 98926 | 2007-05-18 |
| 1295951259 | Kenneth Francis Kladnik | Specialist/Technologist | 1711 E. Canterbury, Ellesnburg, WA 98926 | 2007-04-18 |
| Find all providers in zip 98926 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145682 | Sea Mar Community Health Centers | Clinic/Center | 4100 194th St Sw Ste 120, Lynnwood, WA 98036-4613 | 2020-08-18 |
| 1386278372 | Social Treatment Opportunity Programs II, Inc | Clinic/Center | 600 S 1st Ave, Othello, WA 99344-1703 | 2020-02-27 |
| 1326672692 | Excelsior Integrated Care Center LLC | Clinic/Center | 3910 W. Indian Trail Rd, Spokane, WA 99208-4739 | 2020-02-26 |
| 1659919561 | Baart Behavioral Health Services, Inc. | Clinic/Center | 716 S Chase St, Port Angeles, WA 98362-6122 | 2019-12-11 |
| 1346888260 | Baart Behavioral Health Services, Inc. | Clinic/Center | 1520 Ne Riddell Rd Ste 110, Bremerton, WA 98310-3005 | 2019-12-11 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1780174441 | American Behavioral Health Systems, Inc. | Clinic/Center | 715 E Sprague Ave Ste 107, Spokane, WA 99202-2142 | 2018-05-17 |
| 1598255267 | American Behavioral Healt Systems, Inc. | Clinic/Center | 7208 267th St Nw Ste A-100, Stanwood, WA 98292-6289 | 2018-05-17 |
| 1437648136 | American Behavioral Health Systems, Inc. | Clinic/Center | 8625 Evergreen Way Ste 100, Everett, WA 98208-2620 | 2018-05-08 |
| 1487143350 | Steve Parker | Clinic/Center | 1206 State Ave Ste H, Marysville, WA 98270-3645 | 2018-05-07 |
| Find all providers with the same taxonomy | ||||
| City | ELLENSBURG |
| Zip Code | 98926 |
Please comment or provide details below to improve the information on THE VALLEY ALCOHOL COUNCIL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.