NPIMap

Organization Active NPI

Eugenia Center

  • Substance Abuse Rehabilitation Facility
  • Chehalis, WA
National Provider Identifier
1376696096
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
EUGENIA CENTER
Practice address
151 North Market Blvd, Ste C
Chehalis, WA 98532
Phone
(360) 948-0203
Fax
(360) 262-6620
NPI assigned
Jan 18, 2007
Last updated
Jul 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Authorized official

Name
Fabiola Gonzalez
Title
Ceo
Phone
(360) 266-5585

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Abuse Rehabilitation Facility 324500000X WA Primary

Addresses

Primary practice location

151 North Market Blvd, Ste C
Chehalis, WA 98532

Mailing address

PO Box 1371
Chehalis, WA 98532
Phone (360) 740-9767

Other identifiers 1

IdentifierTypeStateIssuer
1009072MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Eugenia Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

121 NW Chehalis Ave
Chehalis, WA 98532
Phone (360) 740-9767

139 NW Chehalis Ave
Chehalis, WA 98532
Phone (360) 740-9767

151 N Market Blvd
Ste C
Chehalis, WA 98532
Phone (360) 266-5585

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1376696096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1371",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "98532",
            "telephone_number": "360-740-9767",
            "fax_number": "360-262-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 NORTH MARKET BLVD, STE C",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "98532",
            "telephone_number": "360-948-0203",
            "fax_number": "360-262-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENIA CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "FABIOLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-266-5585"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009072",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chehalis, WA

Sources for this page

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