Healthcare Provider Details

I. General information

NPI: 1720349459
Provider Name (Legal Business Name): WHATCOM ALLIANCE FOR HEALTHCARE ACCESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2012
Last Update Date: 02/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E CHESTNUT ST LL STE. 2
BELLINGHAM WA
98225-5241
US

IV. Provider business mailing address

800 E CHESTNUT ST LL STE. 2
BELLINGHAM WA
98225-5241
US

V. Phone/Fax

Practice location:
  • Phone: 360-788-6531
  • Fax: 360-788-6587
Mailing address:
  • Phone: 360-788-6531
  • Fax: 360-788-6587

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. LARRY A THOMPSON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 360-788-6537