Organization Active NPI

Washington State Department of Health

Doing business as Newborn Screening Metabolic Treatment Product Program

  • Public Health or Welfare Agency
  • Shoreline, WA
National Provider Identifier
1194820001
Registry record updated Feb 19, 2013
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
Doing business as
Newborn Screening Metabolic Treatment Product Program
Practice address
1610 NE 150TH St
Shoreline, WA 98155-7224
Phone
(206) 418-5410
Fax
(206) 418-5415
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Authorized official

Name
Mr. Harvey A. Perez
Title
Asst Secretary, Financial Services
Phone
(360) 236-4503

Specialties & licenses 1

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

Addresses

Primary practice location

1610 NE 150TH St
Shoreline, WA 98155-7224

Mailing address

PO Box 47901
Olympia, WA 98504-7901
Phone (360) 236-4503

Other identifiers 1

IdentifierTypeStateIssuer
9011883MedicaidWA

Other names 1

  • Newborn Screening Metabolic Treatment Product Program Doing business as

National Provider Directory

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

Other organizations with this tax ID 2

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

Locations

1610 NE 150th St
Shoreline, WA 98155
Phone (206) 418-5500

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1194820001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47901",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985047901",
            "telephone_number": "360-236-4503",
            "fax_number": "360-236-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 NE 150TH ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981557224",
            "telephone_number": "206-418-5410",
            "fax_number": "206-418-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON STATE DEPARTMENT OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ASST SECRETARY, FINANCIAL SERVICES",
        "authorized_official_telephone_number": "360-236-4503",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9011883",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newborn Screening Metabolic Treatment Product Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.