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NPI Code Detail

MEDICARE: COUNTY OF PIERCE

MEDICARE: COUNTY OF PIERCE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation FacilityRTF-1077WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1146315OTHERWAL&I

General Provider Information

NPI Number : 1336299957
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF PIERCE
Provider Business Mailing Address
First Line : 3580 PACIFIC AVE
Second Line :
City : TACOMA
State : WA
Zip : 98418-7915
Country : US
Telephone Number : 253-798-4500
Fax Number : 253-798-4255
Provider Business Practice Location Address
First Line : 3580 PACIFIC AVE
Second Line :
City : TACOMA
State : WA
Zip : 98418-7915
Country : US
Telephone Number : 253-798-4500
Fax Number : 253-798-4255
Authorized Official
Title or Position : DIRECTOR
Name : MR. DAVID E. STEWART
Credential :
Telephone Number : 253-798-6100
Provider Enumeration Date : 01/12/2007
Last Update Date : 10/10/2007

Similar Medicare Providers

1497757207 — COUNTY OF PIERCE
Practice Location Address:
3580 PACIFIC AVE
TACOMA, WA
98418-7915
Practice Phone: 253-798-4500
Practice Fax:
1235298043 — MS. PATRICIA L. CARNEY MSN, ARNP, BC
Practice Location Address:
3580 PACIFIC AVE
TACOMA, WA
98418-7915
Practice Phone: 253-798-4500
Practice Fax: 253-798-4493
1003975822 — MS. CHRISTINE J. LARSEN ARNP
Practice Location Address:
3580 PACIFIC AVE
TACOMA, WA
98418-7915
Practice Phone: 253-798-4500
Practice Fax: 253-798-4493
1518017136 — COUNTY OF PIERCE
Practice Location Address:
3580 PACIFIC AVE
TACOMA, WA
98418-7915
Practice Phone: 253-798-4500
Practice Fax: 253-798-4255
1659423630 — MR. GERALD R SCHNEIDER LMHC
Practice Location Address:
3580 PACIFIC AVE
TACOMA, WA
98418-7915
Practice Phone: 253-798-6145
Practice Fax:
1407993652 — MR. WADE JAMES WALTER MA
Practice Location Address:
3580 PACIFIC AVE
TACOMA, WA
98418-7915
Practice Phone: 253-798-4373
Practice Fax: 253-798-2721

Directions to “COUNTY OF PIERCE ” Practice Location

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