NPIMap

Organization Active NPI

Washington State Department of Health

  • Public Health or Welfare Agency
  • Tumwater, WA
National Provider Identifier
1093120743
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
WASHINGTON STATE DEPARTMENT OF HEALTH
Practice address
310 Israel Rd SE
Tumwater, WA 98501-5567
Phone
(360) 236-3479
Fax
(360) 664-2216
NPI assigned
Jun 20, 2014
Last updated
Jun 20, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
WASHINGTON STATE DEPARTMENT OF HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Authorized official

Name
Jennifer Tebaldi
Title
Assistant Secretary
Phone
(360) 236-4204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

310 Israel Rd SE
Tumwater, WA 98501-5567

Mailing address

PO Box 47841
Olympia, WA 98504-7841
Phone (360) 236-3479

National Provider Directory

National Provider Directory
Tax ID family
Wa State Dept of Health3 organizations share this tax ID, including this one
Part of
Wa State Dept of Health

Other organizations with this tax ID 2

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

Locations

310 Israel Rd SE
Tumwater, WA 98501
Phone (360) 236-3479

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1093120743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47841",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985047841",
            "telephone_number": "360-236-3479",
            "fax_number": "360-664-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 ISRAEL RD SE",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985015567",
            "telephone_number": "360-236-3479",
            "fax_number": "360-664-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON STATE DEPARTMENT OF HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WASHINGTON STATE DEPARTMENT OF HEALTH",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "TEBALDI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "360-236-4204"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.