NPIMap

Organization Active NPI

Comprehensive Healthcare

  • Community/Behavioral Health Agency
  • Walla Walla, WA
National Provider Identifier
1285064428
Registry record updated Aug 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
015 Issued in WA
Legal business name
COMPREHENSIVE HEALTHCARE
Practice address
1520 Kelly PL
Suite 235
Walla Walla, WA 99362
Phone
(509) 522-4000
NPI assigned
Nov 26, 2013
Organization subpart
Yes
Parent organization
COMPREHENSIVE HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 12, 2023

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

Authorized official

Name
Mr. Jodi Daly
Title
President/Ceo
Phone
(509) 575-4084

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 015 WA Primary
Mental Illness Community Based Residential Treatment Facility 320800000X

Addresses

Primary practice location

1520 Kelly PL
Suite 235
Walla Walla, WA 99362

Mailing address

PO Box 959
Yakima, WA 98907-0959
Phone (509) 575-4084

Other practice location 1

1250 SE Commercial Dr
College Place, WA 99324-9721
Phone (509) 575-4084

Other identifiers 1

IdentifierTypeStateIssuer
1986108MedicaidWA

Other names 1

  • Central Washington Comprehensive Mental Health Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Healthcare28 organizations share this tax ID, including this one
Part of
Comprehensive Healthcare

Other organizations with this tax ID 27

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

View all 27

Locations

1520 Kelly Pl
Ste 235
Walla Walla, WA 99362
Phone (509) 522-4000

NPI Registry JSON

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691798400000",
    "number": "1285064428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989070959",
            "telephone_number": "509-575-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 KELLY PL",
            "address_2": "SUITE 235",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "99362",
            "telephone_number": "509-522-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 SE Commercial Dr",
            "address_purpose": "LOCATION",
            "city": "College Place",
            "state": "WA",
            "postal_code": "993249721",
            "country_code": "US",
            "telephone_number": "509-575-4084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPREHENSIVE HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPREHENSIVE HEALTHCARE",
        "enumeration_date": "2013-11-26",
        "last_updated": "2023-08-12",
        "certification_date": "2023-08-12",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "509-575-4084",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "015",
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1986108",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Washington Comprehensive Mental Health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2023; 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.