NPIMap

Organization Active NPI

Island County Recovery Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Oak Harbor, WA
National Provider Identifier
1407143746
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
151000298 Issued in WA
Legal business name
ISLAND COUNTY RECOVERY SERVICES
Practice address
31640 Sr 20
Suite 1
Oak Harbor, WA 98277-3128
Phone
(360) 679-7676
Fax
(360) 682-5947
NPI assigned
Jul 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Authorized official

Name
Ms. Justine Jade Montoya
Title
Financial Coordinator
Phone
(360) 679-7676

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 151000298 WA
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 151000298 WA Primary

Addresses

Primary practice location

31640 Sr 20
Suite 1
Oak Harbor, WA 98277-3128

Mailing address

31640 Sr 20
Suite 1
Oak Harbor, WA 98277-3128
Phone (360) 679-7676

National Provider Directory

National Provider Directory
Tax ID family
Island County Health de2 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.

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1407143746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31640 SR 20",
            "address_2": "SUITE 1",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773128",
            "telephone_number": "360-679-7676",
            "fax_number": "360-682-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31640 SR 20",
            "address_2": "SUITE 1",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773128",
            "telephone_number": "360-679-7676",
            "fax_number": "360-682-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND COUNTY RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_middle_name": "JADE",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "360-679-7676",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "151000298",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "WA",
            "license": "151000298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.