Coordinated Care of Washington, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

603293815 Issued in WA

Legal business name

COORDINATED CARE OF WASHINGTON, INC.

Practice address

1145 Broadway
Tacoma, WA 98402-3583

Phone

(877) 644-4613

NPI assigned

Mar 23, 2015

Organization subpart

No

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

Authorized official

Name

Kelsey Van Horn

Title

Vice President, Medicaid

Phone

(253) 442-1486

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1174917611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 BROADWAY",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023583",
            "telephone_number": "877-644-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 BROADWAY",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023583",
            "telephone_number": "877-644-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COORDINATED CARE OF WASHINGTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "VAN HORN",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "VICE PRESIDENT, MEDICAID",
        "authorized_official_telephone_number": "253-442-1486"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "WA",
            "license": "603293815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2015999",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Ann Cooper, PTA
• Robert L Cooper, MD
• Ronald Cooper, MD
• Rosemary Grace Cooper
• Sharon Cooper
• Georgia L Coote, ARNP
• Aspen R Copeland, D.O.
• Sarah Marie Copeland
• Copper Creek Medical, Inc.
• Tristan Douglas Coppinger

• Health Maintenance Organization in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Health Maintenance Organization in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.