VISTA TREATMENT CENTER (NPI# 1144603853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144603853 |
Entity Type | Organization |
Organization Name | VISTA TREATMENT CENTER |
Practice Address |
6917 W Grandridge Blvd Kennewick WA 99336-7737 |
Practice Telephone | 2536665912 |
Mailing Telephone | 2536665912 |
Enumeration Date | 2015-06-30 |
Last Update Date | 2015-06-30 |
Authorized Official Name | ASIF RASHID KHAN (CEO) |
Authorized Official Telephone | 2536665912 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | VISTA TREATMENT CENTER LLC | 6917 W Grandridge Blvd Ste B, Kennewick, WA 99336 |
Street Address |
6917 W GRANDRIDGE BLVD |
City | KENNEWICK |
State | WA |
Zip Code | 99336-7737 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417012873 | Kenneth Claire Cole Jr. | Psychologist | 6917 W Grandridge Blvd, Suite D, Kennewick, WA 99336-7737 | 2006-12-26 |
1285910489 | Retina & Macula Specialists Ps | Optometrist | 6917 W Grandridge Blvd, Suite A, Kennewick, WA 99336-7737 | 2011-11-01 |
1396023008 | Vista Health Care | Durable Medical Equipment & Medical Supplies | 6917 W Grandridge Blvd, Suite B2, Kennewick, WA 99336-7737 | 2011-07-29 |
1891946406 | Jessica Lynn Perry Long | Counselor | 6917 W Grandridge Blvd, Ste. D, Kennewick, WA 99336-7737 | 2008-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497393888 | Kelsie D Parvinen | Massage Therapist | 8350 W. Grandridge Blvd, Suite 100, Kennewick, WA 99336 | 2019-12-16 |
1508403858 | New U Women's Clinic & Aesthetics Pllc | Nurse Practitioner | 35 S Louisiana St, Suite A120, Kennewick, WA 99336 | 2019-12-05 |
1457901944 | Solar Mobility LLC | Durable Medical Equipment & Medical Supplies | 949 S Keller St, Kennewick, WA 99336 | 2019-09-17 |
1023662590 | Shane Arthur Gulley | Counselor | 500 N. Morain St Suite 1250, Kennewick, WA 99336 | 2019-08-01 |
1063973873 | Farah Saleem | Student in an Organized Health Care Education/Training Program | 212 W. 10th Avenue,suite 202, Kennewick, WA 99336 | 2019-03-26 |
1255897690 | Thomas Stanley Mcgowan | Student in an Organized Health Care Education/Training Program | Tri-cities Cancer Center, 7350 W. Deschutes Ave, Building A, Kennewick, WA 99336 | 2019-02-11 |
1770068280 | Remedy Urgent Mobile Medicine Pllc | Nurse Practitioner | 3311 West Clearwater Avenue, Suite D210, Kennewick, WA 99336 | 2018-10-01 |
1740767011 | Zachary Wilber Fournier | Specialist/Technologist | Toyota Center - 7000 West Grandridge Blvd, Kennewick, WA 99336 | 2018-07-19 |
1649780693 | Alan Arnold Hanson | Chiropractor | 8350 W. Grandridge Blvd #100, Kennewick, WA 99336 | 2017-10-04 |
1922528827 | Sarah Nicole Childress | Counselor | 415 North Morain St, Kennewick, WA 99336 | 2017-06-21 |
Find all providers in zip 99336 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609937200 | The Valley Alcohol Council | Clinic/Center | 7510 W. Deschutes Place, Kennewick, WA 99336-7719 | 2006-12-13 |
1124108584 | Benton & Franklin Counties Crisis Response Unit | Clinic/Center | 2635 W Deschutes Ave, Kennewick, WA 99336-3004 | 2006-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689271223 | Christy Webster Legler, Pmhnp-bc, Pllc | Clinic/Center | 608 S G St, Tacoma, WA 98405-4625 | 2020-10-07 |
1447866496 | Rogers Behavioral Health - Washington Inc | Clinic/Center | 1215 114th Ave Se, Bellevue, WA 98004-6929 | 2020-09-16 |
1730794421 | Reflect | Clinic/Center | 308 E Republican St Apt 701, Seattle, WA 98102-6804 | 2020-09-10 |
1588278394 | Makenzie Muilenburg Counseling | Clinic/Center | 271 Ne 45th St, Seattle, WA 98105-6147 | 2020-08-31 |
1477163160 | Columbia Valley Community Health | Clinic/Center | 504 Orondo Ave Ste A, Wenatchee, WA 98801-2830 | 2020-08-06 |
1972113165 | Hanmin Corporation | Clinic/Center | 4060 138th Ave Se, Bellevue, WA 98006-1431 | 2020-08-03 |
1801405642 | United Early Learning & Family Center LLC | Clinic/Center | 106 N Elm St, Grandview, WA 98930-1009 | 2020-07-28 |
1972111201 | Core Psychology Group Pllc | Clinic/Center | 6325 17th Ave Nw, Seattle, WA 98107-2320 | 2020-07-22 |
1114535853 | Behind The Mask Therapy | Clinic/Center | 1908 Nw 4th Ave, Battle Ground, WA 98604-6823 | 2020-07-20 |
1386262376 | Everwell Counseling Pllc | Clinic/Center | 306 E 18th Ave, Spokane, WA 99203-2217 | 2020-07-07 |
Find all providers with the same taxonomy |
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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.