Organization Active NPI

Pierce County AIDS Foundation

  • Case Management Agency
  • Tacoma, WA
National Provider Identifier
1396079885
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PIERCE COUNTY AIDS FOUNDATION
Practice address
625 Commerce St Ste 10
Tacoma, WA 98402-4601
Phone
(253) 383-2565
Fax
(253) 597-6682
NPI assigned
Sep 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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

Authorized official

Name
Steven G Pierce, MBA
Title
Finance Director
Phone
(253) 722-0704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X WA Primary

Addresses

Primary practice location

625 Commerce St Ste 10
Tacoma, WA 98402-4601

Mailing address

625 Commerce St Ste 10
Tacoma, WA 98402-4601
Phone (253) 383-2565

Other identifiers 2

IdentifierTypeStateIssuer
AO8024242OtherWAACS SUBMITTER NUMBER
7403769MedicaidWA

National Provider Directory

National Provider Directory

Locations

625 Commerce St
Ste 10
Tacoma, WA 98402
Phone (253) 383-2565

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1396079885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 COMMERCE ST STE 10",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024601",
            "telephone_number": "253-383-2565",
            "fax_number": "253-597-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 COMMERCE ST STE 10",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024601",
            "telephone_number": "253-383-2565",
            "fax_number": "253-597-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERCE COUNTY AIDS FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "253-722-0704",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS SUBMITTER NUMBER",
            "identifier": "AO8024242",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7403769",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.