MEDICARE: THE ARC OF WHATCOM COUNTY

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
1	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1609241603
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE ARC OF WHATCOM COUNTY

Provider Business Mailing Address
First Line	:	1111 CORNWALL AVE
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-5039
Country	:	US
Telephone Number	:	360-734-8396
Fax Number	:

Provider Business Practice Location Address
First Line	:	2602 MCLEOD RD
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-1368
Country	:	US
Telephone Number	:	360-715-0170
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM ASSISTANT LLA
Name	:	AMY HICKEL
Credential	:
Telephone Number	:	360-734-8396

Provider Enumeration Date	:	12/02/2015
Last Update Date	:	12/02/2015

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Directions to “THE ARC OF WHATCOM COUNTY ” Practice Location

Language	Start Address	Practice Location

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