NPIMap

Organization Active NPI

Department of Social and Health Services

  • Pharmacy
  • Centralia, WA
National Provider Identifier
1083456982
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
DEPARTMENT OF SOCIAL AND HEALTH SERVICES
Practice address
20311 Old Highway 9 SW
Centralia, WA 98531
Phone
(360) 664-4641
NPI assigned
Jun 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Amy Umberger, LICSW
Title
Ngri Quality Manager
Phone
(253) 993-0557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

20311 Old Highway 9 SW
Centralia, WA 98531

Mailing address

20311 Old Highway 9 SW
Centralia, WA 98531

Other names 1

  • DSHS Behavioral Health and Treatment Center-Cascade Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2288328DSHS Behavioral Health and Treatment Center20311 Old Highway 9 SW, Centralia, WA 98531Certificate of waiverApr 4, 2028
50D2323883DSHS Behavioral Health and Treatment20311 Old Highway 9 SW, Centralia, WA 98531Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Lynden School District16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

20311 Old Highway 9 SW
Centralia, WA 98531
Phone (360) 584-5706

NPI Registry JSON

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1083456982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20311 OLD HIGHWAY 9 SW",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "98531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20311 OLD HIGHWAY 9 SW",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "98531",
            "telephone_number": "360-664-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF SOCIAL AND HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "UMBERGER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "NGRI QUALITY MANAGER",
        "authorized_official_telephone_number": "253-993-0557",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DSHS Behavioral Health and Treatment Center-Cascade",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centralia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.