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NPI Code Detail

MEDICARE: PIONEER HUMAN SERVICES

MEDICARE: PIONEER HUMAN SERVICES
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.FS.00001040WA

General Provider Information

NPI Number : 1063709756
Entity Type Code : Organization
Provider Name (Legal Business Name) : PIONEER HUMAN SERVICES
Provider Business Mailing Address
First Line : 7440 W. MARGINAL WAY S.
Second Line : PIONEER HUMAN SERVICES - CONTRACTS
City : SEATTLE
State : WA
Zip : 98108-4141
Country : US
Telephone Number : 206-768-1990
Fax Number : 206-768-8910
Provider Business Practice Location Address
First Line : 3400 W GARLAND AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99205-2119
Country : US
Telephone Number : 509-325-2355
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT, TREATMENT & REENTRY
Name : MR. STEVE WOOLWORTH
Credential :
Telephone Number : 206-766-7018
Provider Enumeration Date : 07/01/2011
Last Update Date : 10/17/2018

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Directions to “PIONEER HUMAN SERVICES ” Practice Location

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