BIG CHANGE MEDICAL (NPI# 1346785524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346785524 |
Entity Type | Organization |
Organization Name | BIG CHANGE MEDICAL |
Other Organization Name | BIG CHANGE CONSULTING |
Practice Address |
26857 16th Ave S Des Moines WA 98198-9327 |
Mailing Address |
30765 Pacific Coast Hwy Ste 135 Malibu CA 90265-3646 |
Practice Telephone | 2023798359 |
Mailing Telephone | 2023798359 |
Enumeration Date | 2016-12-27 |
Last Update Date | 2016-12-27 |
Authorized Official Name | MR. ARTHUR DAHLEN (CEO) |
Authorized Official Telephone | 2023798359 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | WA | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Big Change Consulting | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | BIG CHANGE MEDICAL CORPORATION | 26857 16th Ave S, Des Moines, WA 98198 |
Street Address |
26857 16TH AVE S |
City | DES MOINES |
State | WA |
Zip Code | 98198-9327 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194273367 | Lisa Adams | Occupational Therapy Assistant | 933 S 262nd Pl, Des Moines, WA 98198 | 2016-09-16 |
1356894125 | Melissa Pearson | Nurse Practitioner | 1826 S 250th Pl, Des Moines, WA 98198 | 2016-07-28 |
1528432010 | Sea-mar Community Health Center | Dentist | 2781 South 242nd St, Seattle, WA 98198 | 2015-11-20 |
1578944864 | Alexander Stephen Topor | Dentist | 26401 Pacific Hwy S.#201, Des Moines, WA 98198 | 2015-06-12 |
1942699301 | Sunshine Luzano Yap | Occupational Therapy Assistant | 23600 Marine View Dr. S., Des Moines, WA 98198 | 2015-01-22 |
1326481136 | Mylinh Nguyen | Pharmacist | 21615 Pacific Highway So., Des Moines, WA 98198 | 2013-04-10 |
1922351527 | Healthpoint | Clinic/Center | 26401 Pacific Hwy S., Suite 101, Des Moines, WA 98198 | 2012-10-19 |
1326316142 | Sea-mar Community Health Center | Clinic/Center | 2781 S 242nd St, Des Moines, WA 98198 | 2011-12-07 |
1023318615 | Andrew Francis Torres | Physical Therapy Assistant | 2800 South 224th St., Des Moines, IA 98198 | 2010-10-28 |
1194032896 | Brigitte Rey Wagner | Physical Therapy Assistant | 815 S 216th St, Wesley Home, Des Moines, WA 98198 | 2010-09-02 |
Find all providers in zip 98198 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629525308 | St. Gregory Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 1985 Ne 51st Pl, Des Moines, IA 50313-2517 | 2016-09-09 |
1750511143 | St Gregory Centers, Inc | Substance Abuse Rehabilitation Facility | 5875 Fleur Dr, Des Moines, IA 50321-2883 | 2009-07-20 |
1871023416 | Bridges of Iowa | Substance Abuse Rehabilitation Facility | 1985 Ne 51st Pl, Des Moines, IA 50313-2517 | 2017-06-15 |
1447606272 | Franklin Family Practice Inc | Substance Abuse Rehabilitation Facility | 4908 Franklin Ave, Des Moines, IA 50310-1901 | 2016-05-11 |
1336484831 | St. Gregory Retreat Centers, LLC | Substance Abuse Rehabilitation Facility | 5875 Fleur Dr, Des Moines, IA 50321-2883 | 2012-12-10 |
1417200155 | House of Mercy | Substance Abuse Rehabilitation Facility | 1409 Clark St, Des Moines, IA 50314-1964 | 2012-10-18 |
1669695201 | House of Mercy | Substance Abuse Rehabilitation Facility | 1409 Clark St, Des Moines, IA 50314-1964 | 2007-04-11 |
1346362977 | House of Mercy | Substance Abuse Rehabilitation Facility | 1409 Clark St, Des Moines, IA 50314-1964 | 2007-04-04 |
1528116191 | Sea-mar Community Health Center | Substance Abuse Rehabilitation Facility | 24215 Pacific Hwy S, Des Moines, WA 98198-4024 | 2007-01-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730787763 | For The Culture Counseling Services | Substance Abuse Rehabilitation Facility | 4301 S Pine St Ste 92, Tacoma, WA 98409-7259 | 2020-10-12 |
1760090518 | Hotel California By The Sea Bellevue, LLC. | Substance Abuse Rehabilitation Facility | 7810 130th Ave Ne, Kirkland, WA 98033-8251 | 2020-07-17 |
1629532569 | Sandra Ann Moore | Substance Abuse Rehabilitation Facility | 2632 E 17th St, Bremerton, WA 98310-5058 | 2019-01-24 |
1972085835 | Peninsula Counseling, LLC | Substance Abuse Rehabilitation Facility | 3214 50th Street Ct Nw Ste D-305, Gig Harbor, WA 98335-8589 | 2018-09-06 |
1356831911 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 44 E Cozza Dr Ste B, Spokane, WA 99208-6514 | 2018-05-18 |
1609365238 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 500 Se Adams Ave, Chehalis, WA 98532 | 2018-05-09 |
1023515400 | Evergreen Recovery Centers | Substance Abuse Rehabilitation Facility | 1905 Continental Place, Mount Vernon, WA 98273 | 2018-04-11 |
1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
1881062362 | Sea-mar Community Health Center | Substance Abuse Rehabilitation Facility | 113 23rd Ave S, Seattle, WA 98144-2309 | 2015-09-14 |
1073995080 | The Haven Detox Center LLC | Substance Abuse Rehabilitation Facility | 8649 Martin Way E, Lacey, WA 98516-5812 | 2015-06-25 |
Find all providers with the same taxonomy |
City | DES MOINES |
Zip Code | 98198 |
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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.