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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-1078WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366560062
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 :
City : SEATTLE
State : WA
Zip : 98108-4141
Country : US
Telephone Number : 206-768-1990
Fax Number : 206-768-9757
Provider Business Practice Location Address
First Line : 505 WASHINGTON AVE S
Second Line :
City : KENT
State : WA
Zip : 98032-5709
Country : US
Telephone Number : 253-856-1825
Fax Number : 253-856-2457
Authorized Official
Title or Position : CFO
Name : MS. TRACEY ANN GROSCOST
Credential :
Telephone Number : 206-768-1990
Provider Enumeration Date : 03/27/2007
Last Update Date : 08/22/2020

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Directions to “PIONEER HUMAN SERVICES ” Practice Location

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