Organization Active NPI

United NW Recovery Center Inc.

  • Exclusive Provider Organization
  • Sedro Woolley, WA
National Provider Identifier
1316118177
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
UNITED NW RECOVERY CENTER INC.
Doing business as
none
Practice address
605 Sunset Park Dr Ste B
Sedro Woolley, WA 98284-1589
Phone
(360) 856-6300
Fax
(360) 854-9062
NPI assigned
Mar 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Barbara Jean Thompson, CDP
Title
Director
Phone
(360) 856-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X WA Primary

Addresses

Primary practice location

605 Sunset Park Dr Ste B
Sedro Woolley, WA 98284-1589

Mailing address

605 Sunset Park Dr Ste B
Sedro Woolley, WA 98284-1589
Phone (360) 856-6300

Other identifiers 1

IdentifierTypeStateIssuer
1234OtherWADASA

Other names 1

  • none Doing business as

National Provider Directory

National Provider Directory

Locations

605 Sunset Park Dr
Ste B
Sedro Woolley, WA 98284
Phone (360) 856-6300

Practitioners & affiliated clinicians

Practitioners 2

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": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1316118177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 SUNSET PARK DR STE B",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982841589",
            "telephone_number": "360-856-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 SUNSET PARK DR STE B",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982841589",
            "telephone_number": "360-856-6300",
            "fax_number": "360-854-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED NW RECOVERY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "360-856-6300",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CDP"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DASA",
            "identifier": "1234",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sedro Woolley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.