The Evergreen State College

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

THE EVERGREEN STATE COLLEGE

Practice address

2700 Evergreen Pkwy NW
Seminar 1 2110
Olympia, WA 98505-0005

Phone

(360) 867-6808

Fax

(360) 867-6787

NPI assigned

Feb 14, 2008

Last updated

Feb 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth McHugh, PA-CNPI 1619285368

Title

Director of Counseling & Health SVC

Phone

(360) 867-6808

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Tax ID family

Evergreen Healthcare2 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.

• Evergreen Healthcare

  • General Acute Care Hospital
  • Kirkland, WA
  • NPI 1508258765
  NPD tax ID

Locations

Practitioners 1

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.

• Elizabeth R McHugh, PA-C, M.P.A.S.

  • Medical Physician Assistant
  • Olympia, WA
  • NPI 1619285368
  Authorized official Same address or phone

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1114195898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 EVERGREEN PKWY NW",
            "address_2": "SEMINAR 1 2110",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985050005",
            "telephone_number": "360-867-6808",
            "fax_number": "360-867-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 EVERGREEN PKWY NW",
            "address_2": "SEMINAR 1 2110",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985050005",
            "telephone_number": "360-867-6808",
            "fax_number": "360-867-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EVERGREEN STATE COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "MCHUGH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR OF COUNSELING & HEALTH SVC",
        "authorized_official_telephone_number": "360-867-6808",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth Mark Thaler, MD
• Stella S Thalhamer, MD
• Kayla Marie Thaller, DPT
• The Birth House, LLC
• The Dentist Inc
• The Fidelis Group Inc (FirstLight Home Care of South Sound)
• The Healing Tree Counseling Services PLLC
• The Lions Paw, LLC (Gonstead Chiropractic at the Sound)
• The Olympia Free Clinic
• The Playful Start LLC

• Student Health Clinic/Center in Olympia, WA
• Providers in Olympia, WA by specialty
• Student Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.