Vista Treatment Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

VISTA TREATMENT CENTER

Practice address

6917 W Grandridge Blvd
Kennewick, WA 99336-7737

Phone

(253) 666-5912

NPI assigned

Jun 30, 2015

Organization subpart

No

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

Authorized official

Name

Asif Rashid Khan, MD

Title

Ceo

Phone

(253) 666-5912

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1144603853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6917 W GRANDRIDGE BLVD",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367737",
            "telephone_number": "253-666-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6917 W GRANDRIDGE BLVD",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367737",
            "telephone_number": "253-666-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ASIF",
        "authorized_official_middle_name": "RASHID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-666-5912",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Irene Viveros
• Pornpira Von Reis, LMT
• Elizabeth Marie Vossenkemper, RN, CPNP-PC
• Vue Home Care LLC
• Vue Home Health LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.