Organization Active NPI

Cowlitz County

  • Public Health or Welfare Agency
  • Longview, WA
National Provider Identifier
1356569636
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COWLITZ COUNTY
Practice address
1952 9TH Ave
Longview, WA 98632-4045
Phone
(360) 414-5599
Fax
(360) 425-7531
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Carlos R Carreon, LICSW, BCPNPI 1770579773
Title
Director
Phone
(360) 414-5599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

1952 9TH Ave
Longview, WA 98632-4045

Mailing address

1952 9TH Ave
Longview, WA 98632-4045
Phone (360) 414-5599

Other identifiers 1

IdentifierTypeStateIssuer
7162209MedicaidWA

Other names 1

  • Cowlitz County Health Department Other name

National Provider Directory

National Provider Directory

Locations

1952 9th Ave
Longview, WA 98632
Phone (360) 414-5599

1516 Hudson St
Longview, WA 98632
Phone (360) 577-5680

Practitioners & affiliated clinicians

Practitioners 1

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": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1356569636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 9TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324045",
            "telephone_number": "360-414-5599",
            "fax_number": "360-425-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 9TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324045",
            "telephone_number": "360-414-5599",
            "fax_number": "360-425-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COWLITZ COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "CARREON",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "360-414-5599",
        "authorized_official_credential": "LICSW, BCP"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7162209",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cowlitz County Health Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 28, 2007; 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.