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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
34111900 | WA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 8008203 | 05 | |
WA | 1995927 | 05 |
Other Name | Type Code |
---|---|
South Sound Clinic | Doing Business As Name - Organization |
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 |
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 |
Street Address |
6700 MARTIN WAY E STE 117 |
City | OLYMPIA |
State | WA |
Zip Code | 98516-5586 |
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 |
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 |
---|---|---|---|---|
1770638983 | Evergreen Treatment Services Unit 5 | Clinic/Center | 6700 Martin Way E, Olympia, WA 98516-6502 | 2007-01-25 |
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.