NPIMap

Organization Active NPI

Pioneer Human Services

Doing business as whatcom community detox

  • Substance Abuse Rehabilitation Facility
  • Bellingham, WA
National Provider Identifier
1003201732
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
RTF.FS00001081 Issued in WA
Legal business name
PIONEER HUMAN SERVICES
Doing business as
whatcom community detox
Practice address
2030 Division St Ste B
Bellingham, WA 98226-8014
Phone
(360) 676-2020
NPI assigned
Mar 31, 2015
Last updated
Mar 31, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kelly Willis
Title
Accounting Manager
Phone
(360) 856-3108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X RTF.FS00001081 WA Primary

Addresses

Primary practice location

2030 Division St Ste B
Bellingham, WA 98226-8014

Mailing address

24961 Thompson Dr
Sedro Woolley, WA 98284-8246
Phone (360) 856-3108

Other names 1

  • whatcom community detox Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pioneer Center North35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1003201732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24961 THOMPSON DR",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982848246",
            "telephone_number": "360-856-3108",
            "fax_number": "360-856-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 DIVISION ST STE B",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268014",
            "telephone_number": "360-676-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "360-856-3108"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WA",
            "license": "RTF.FS00001081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "whatcom community detox",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.