Organization Active NPI

Benton & Franklin Counties Substance Abuse Assessment Center

  • Community/Behavioral Health Agency
  • Kennewick, WA
National Provider Identifier
1205054053
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
03 0546 00 Issued in WA
Legal business name
BENTON & FRANKLIN COUNTIES SUBSTANCE ABUSE ASSESSMENT CENTER
Practice address
2635 W Deschutes Ave
Kennewick, WA 99336-3004
Phone
(509) 735-2704
Fax
(509) 783-3355
NPI assigned
Apr 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Connie Simpson, CDP
Title
Supervisor
Phone
(509) 735-2704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 03 0546 00 WA Primary

Addresses

Primary practice location

2635 W Deschutes Ave
Kennewick, WA 99336-3004

Mailing address

2635 W Deschutes Ave
Kennewick, WA 99336-3004
Phone (509) 735-2704

National Provider Directory

National Provider Directory
Tax ID family
Benton County Corrections Department4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205054053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 W DESCHUTES AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363004",
            "telephone_number": "509-735-2704",
            "fax_number": "509-783-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 W DESCHUTES AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363004",
            "telephone_number": "509-735-2704",
            "fax_number": "509-783-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENTON & FRANKLIN COUNTIES SUBSTANCE ABUSE ASSESSMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "509-735-2704",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CDP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "03 0546 00",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.