NPIMap

Organization Active NPI

County of Island

  • Case Management Agency
  • Coupeville, WA
National Provider Identifier
1083188809
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
COUNTY OF ISLAND
Practice address
105 NW 1St St
Coupeville, WA 98239-3138
Phone
(360) 678-7881
Fax
(360) 679-7377
NPI assigned
Jan 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Authorized official

Name
Jacquelyn Henderson
Title
Director
Phone
(360) 678-7881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

105 NW 1St St
Coupeville, WA 98239-3138

Mailing address

PO Box 5000
Coupeville, WA 98239-5000
Phone (360) 678-7970

Other names 1

  • Island County Housing Support Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Island County Health de2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

105 NW 1st St
Coupeville, WA 98239
Phone (360) 678-7911

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1083188809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5000",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982395000",
            "telephone_number": "360-678-7970",
            "fax_number": "360-679-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NW 1ST ST",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982393138",
            "telephone_number": "360-678-7881",
            "fax_number": "360-679-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "360-678-7881"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island County Housing Support Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coupeville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.