NPIMap

Organization Active NPI

Molina Healthcare of Washington, Inc.

  • Case Management Agency
  • Bothell, WA
National Provider Identifier
1356775431
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MOLINA HEALTHCARE OF WASHINGTON, INC.
Practice address
21540 30TH Dr SE
400
Bothell, WA 98021-7015
Phone
(800) 869-7175
NPI assigned
Aug 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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

Authorized official

Name
Julie Lindberg, MSW
Title
Vice President, Healthcare Services
Phone
(888) 562-5442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

21540 30TH Dr SE
400
Bothell, WA 98021-7015

Mailing address

PO Box 4004
Bothell, WA 98041-4004
Phone (800) 869-7175

National Provider Directory

National Provider Directory
Tax ID family
Molina Healthcare of Washington Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

21540 30th Dr SE
Ste 400
Bothell, WA 98021
Phone (419) 635-8675

NPI Registry JSON

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1356775431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4004",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980414004",
            "telephone_number": "800-869-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21540 30TH DR SE",
            "address_2": "400",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980217015",
            "telephone_number": "800-869-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLINA HEALTHCARE OF WASHINGTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "LINDBERG",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "VICE PRESIDENT, HEALTHCARE SERVICES",
        "authorized_official_telephone_number": "888-562-5442",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.