Azalia Acosta
Individual provider Active NPI Case Manager/Care Coordinator · Othello, WA
NPI 1326508672 · NPPES record last updated Mar 22, 2019
Key facts
- NPI
- 1326508672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- CG60941622 (WA)
- Practice address
- 425 E Main St Ste 600
Othello, WA 99344-1146 - Phone
- (509) 488-4074
- NPI assigned
- Mar 22, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG60941622 | WA | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Adams | Case Manager/Care Coordinator | Past | Accepting new patients |
| County of Adams | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CG60941622 | WA | Yes |
Addresses
Primary practice location
425 E Main St Ste 600
Othello, WA 99344-1146
Mailing address
425 E Main St Ste 600
Othello, WA 99344-1146
Phone (509) 488-4074
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CG60941622 | Other | WA | AGENCY AFFILIATION REGISTRATION |
Other providers in Othello, WA
- Adams County Public Hospital District 3
- Admas County Pulic Hospital No. 3
- Ana K Aguirre Monday
- Ahmed Al Rawe
- Luis Carlos Alcalde
All providers in Othello, WA · Case Manager/Care Coordinator in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.