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NPI Code Detail

MEDICARE: CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON

MEDICARE: CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)027WA

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 : 1548332190
Entity Type Code : Organization
Provider Name (Legal Business Name) : CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON
Provider Business Mailing Address
First Line : 1133 RAILROAD AVE
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-5055
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1133 RAILROAD AVE
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-5055
Country : US
Telephone Number : 360-676-2164
Fax Number : 360-676-2144
Authorized Official
Title or Position : COMPLIANCE & POLICY ANALYST
Name : STEPHANIE M. THELEN
Credential :
Telephone Number : 253-761-3898
Provider Enumeration Date : 11/15/2006
Last Update Date : 10/15/2018

Similar Medicare Providers

1912313701 — WALTER SYTSMA
Practice Location Address:
1133 RAILROAD AVE
BELLINGHAM, WA
98225-5055
Practice Phone: 360-676-2164
Practice Fax:
1124190780 — KATHLEEN MCNAUGHTON MSW
Practice Location Address:
1133 RAILROAD AVE
BELLINGHAM, WA
98225-5055
Practice Phone: 360-676-2164
Practice Fax:
1568535797 — STERLING RICHARD CHICK MC
Practice Location Address:
1133 RAILROAD AVE
BELLINGHAM, WA
98225-5055
Practice Phone: 360-676-2164
Practice Fax:
1851465850 — ERIN HELENE BA
Practice Location Address:
1133 RAILROAD AVE
BELLINGHAM, WA
98225-5055
Practice Phone: 360-676-2167
Practice Fax: 360-676-2144
1710052261 — MRS. ELIZABETH MAE PRUIETT M.A.
Practice Location Address:
1133 RAILROAD AVE , SUITE 100
BELLINGHAM, WA
98225-5055
Practice Phone: 360-676-2164
Practice Fax: 360-676-2144
1003981655 — TRACY DIANE JONES
Practice Location Address:
1133 RAILROAD AVE
BELLINGHAM, WA
98225-5055
Practice Phone: 360-676-2164
Practice Fax: 360-676-2144

Directions to “CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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