Organization Active NPI

Total Health Center, Co

  • Health Maintenance Organization
  • Longview, WA
National Provider Identifier
1265706741
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
175F00000X Issued in WA
Legal business name
TOTAL HEALTH CENTER, CO
Practice address
1322 Vandercook Way
Longview, WA 98632-3902
Phone
(360) 353-3822
Fax
(360) 353-3246
NPI assigned
Mar 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Lindsay Roberson, ND
Title
President
Phone
(360) 353-3822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 175F00000X WA Primary

Addresses

Primary practice location

1322 Vandercook Way
Longview, WA 98632-3902

Mailing address

1322 Vandercook Way
Longview, WA 98632-3902
Phone (360) 353-3822

National Provider Directory

National Provider Directory

Locations

1322 Vandercook Way
Longview, WA 98632
Phone (360) 353-3822

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1265706741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 VANDERCOOK WAY",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323902",
            "telephone_number": "360-353-3822",
            "fax_number": "360-353-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 VANDERCOOK WAY",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323902",
            "telephone_number": "360-353-3822",
            "fax_number": "360-353-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTH CENTER, CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-353-3822",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "WA",
            "license": "175F00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.