EVERGREEN TREATMENT SERVICES


Address: 6700 Martin Way E Ste 117, Olympia, WA 98516-5586
Phone: 3604136910

EVERGREEN TREATMENT SERVICES (NPI# 1871729491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871729491
Entity Type Organization
Organization Name EVERGREEN TREATMENT SERVICES
Other Organization Name SOUTH SOUND CLINIC
Practice Address 6700 Martin Way E Ste 117
Olympia
WA 98516-5586
Practice Telephone 3604136910
Practice Fax Number 3604139026
Mailing Telephone 3604136910
Mailing Fax Number 3604139026
Enumeration Date 2009-06-10
Last Update Date 2017-04-11
Authorized Official Name MARGARET CARNEY (EXECUTIVE DIRECTOR)
Authorized Official Telephone 2062233644
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2800X Clinic/Center
Specialization: Methadone Clinic
34111900 WA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WA 8008203 05
WA 1995927 05

Other Provider/Organization Names

Other Name Type Code
South Sound Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1417405333 Evergreen Treatment Services Clinic/Center 1412 Sw 43rd St, Suite 140, Renton, WA 98057-4803 2016-09-20
1851547244 Evergreen Treatment Services Clinic/Center 1700 Airport Way S, Seattle, WA 98134-1618 2008-08-18
1508911777 Evergreen Treatment Services Clinic/Center 1700 Airport Way S, Seattle, WA 98134-1618 2007-01-25

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities EVERGREEN TREATMENT SERVICES 1700 Airport Way S, Seattle, WA 98134-1618
Washington State Corporations EVERGREEN TREATMENT SERVICES 1700 Airport Way S, Seattle, WA 98134-1618

Office Location

Street Address 6700 MARTIN WAY E STE 117
City OLYMPIA
State WA
Zip Code 98516-5586

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962042184 Jody Lynn Heller Student in an Organized Health Care Education/Training Program 6700 Martin Way E Ste 117, Olympia, WA 98516-5586 2020-01-15
1093369647 Brandon A Thomas Technician 6700 Martin Way E Ste 117, Olympia, WA 98516-5586 2019-07-31
1588146005 Brenda M Thorson Counselor 6700 Martin Way E Ste 117, Olympia, WA 98516-5586 2018-08-30
1366954471 Tiffany P Woelfel Social Worker 6700 Martin Way E Ste 117, Olympia, WA 98516-5586 2017-10-30

Providers in the same zip code

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 Information

Taxonomy Code 261QM2800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Methadone Clinic

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770638983 Evergreen Treatment Services Unit 5 Clinic/Center 6700 Martin Way E, Olympia, WA 98516-6502 2007-01-25

Providers in the same taxonomy and state

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

Competitor

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City OLYMPIA
Zip Code 98516

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Dataset Information

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.

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