EVERGREEN TREATMENT SERVICES UNIT 5 (NPI# 1770638983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770638983 |
Entity Type | Organization |
Organization Name | EVERGREEN TREATMENT SERVICES UNIT 5 |
Practice Address |
6700 Martin Way E Olympia WA 98516-6502 |
Mailing Address |
1700 Airport Way S Seattle WA 98134-1618 |
Practice Telephone | 3604136910 |
Practice Fax Number | 3604139026 |
Mailing Telephone | 2062233644 |
Mailing Fax Number | 2062231482 |
Enumeration Date | 2007-01-25 |
Last Update Date | 2017-04-11 |
Authorized Official Name | MARGARET CARNEY (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 2062233644 |
Is Organization Subpart | Y |
Parent Organization Name | EVERGREEN TREATMENT SERVICES |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
34 1119 00 | WA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 1994243 | 05 | |
WA | 8008203 | 05 |
Street Address |
6700 MARTIN WAY E |
City | OLYMPIA |
State | WA |
Zip Code | 98516-6502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164464053 | John C Schira | Physician Assistant | 6700 Martin Way E, Suite 117, Olympia, WA 98516-6502 | 2006-06-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730744210 | Michael Oropeza | Behavioral Analyst | 8282 28th Court Northeast, Suite A, Lacey, WA 98516 | 2019-05-09 |
1902361330 | Amanda Jessica Mae Allen | Behavioral Analyst | Basics Nw LLC, 8282 28th Ct Ne Suite A, Lacey, WA 98516 | 2019-02-11 |
1619459393 | Kayla-renee Williams | Behavioral Analyst | Basics Nw LLC 8282 28th Ct Ne, Suite A, Lacey, WA 98516 | 2018-08-30 |
1174004303 | Julie Ann Lisowski | Massage Therapist | 3532 Cuddy Ln Ne, Lacey, WA 98516 | 2018-08-26 |
1740700145 | Joseph Brandon Kimmel | Denturist | 5032 Beverly Dr Ne, Olympia, WA 98516 | 2017-06-27 |
1649649880 | Katie Cole | Behavioral Analyst | 8282 28th Ct Ne, Suite A, Basics Nw, LLC, Lacey, WA 98516 | 2015-09-17 |
1306234166 | Reza Tahernia | Dentist | 8050 Freedon Lane Ne, Suite C, Lacey, WA 98516 | 2015-01-02 |
1770997603 | Qualified Surgical Services Pllc | Surgery | 3697 Cameron Dr Ne, Lacey, WA 98516 | 2014-06-18 |
1184048688 | Stephanie Renee Hjortedal | Specialist/Technologist | 8750 Tallon Lane Ne., Lacey, WA 98516 | 2014-02-05 |
1295169811 | Teasha Corrado | Behavioral Analyst | 8282 28th Court Ne, Suite A, Lacey, WA 98516 | 2013-08-30 |
Find all providers in zip 98516 |
Taxonomy Code | 261QM2800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Methadone Clinic |
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871729491 | Evergreen Treatment Services | Clinic/Center | 6700 Martin Way E Ste 117, Olympia, WA 98516-5586 | 2009-06-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740755354 | Wchs, Inc. | Clinic/Center | 516 East 1st Street, Aberdeen, WA 98520 | 2018-10-10 |
1215074539 | Wchs Vancouver Treatment Solutions | Clinic/Center | 2009 Ne 117th St, Suite 101, Vancouver, WA 98686-4022 | 2007-01-30 |
1558416685 | Evergreen Treatment Services Unit 4 | Clinic/Center | 1700 Airport Way S, Seattle, WA 98134-1618 | 2007-01-25 |
1417405333 | Evergreen Treatment Services | Clinic/Center | 1412 Sw 43rd St, Suite 140, Renton, WA 98057-4803 | 2016-09-20 |
1548606171 | Therapeutic Health Services | Clinic/Center | 16715 Aurora Ave N Ste 102, Shoreline, WA 98133-5310 | 2013-05-22 |
1346497807 | Therapeutic Health Services | Clinic/Center | 1116 Summit Ave, Seattle, WA 98101-2831 | 2008-08-26 |
1851547244 | Evergreen Treatment Services | Clinic/Center | 1700 Airport Way S, Seattle, WA 98134-1618 | 2008-08-18 |
1588871693 | Comprehensive Healthcare | Clinic/Center | 402 S 4th Ave, Yakima, WA 98902 | 2007-05-17 |
1508911777 | Evergreen Treatment Services | Clinic/Center | 1700 Airport Way S, Seattle, WA 98134-1618 | 2007-01-25 |
1922153055 | Evergreen Treatment Services Unit 2 | Clinic/Center | 1700 Airport Way S, Seattle, WA 98134-1618 | 2007-01-25 |
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.