Palouse Recovery Center LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

38075500 Issued in WA

Legal business name

PALOUSE RECOVERY CENTER LLC

Practice address

SE 1240 Bishop Boulevard
Suite P
Pullman, WA 99163

Phone

(509) 334-0718

Fax

(509) 334-0361

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Darcell K Myers, CHEMICAL DEPENDENCY

Title

Co Owner of LLC

Phone

(509) 334-0718

Specialties & licenses 1

Addresses

Other names 1

• PRC Doing business as

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407928013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SE 1240 BISHOP BLVD",
            "address_2": "SUITE P",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "99163",
            "telephone_number": "509-334-0718",
            "fax_number": "509-334-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SE 1240 BISHOP BOULEVARD",
            "address_2": "SUITE P",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "99163",
            "telephone_number": "509-334-0718",
            "fax_number": "509-334-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOUSE RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "DARCELL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CO OWNER OF LLC",
        "authorized_official_telephone_number": "509-334-0718",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CHEMICAL DEPENDENCY"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WA",
            "license": "38075500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Palouse Specialty Physicians, P.S.
• Palouse Specialty Physicians, P.S.

• Substance Abuse Rehabilitation Facility in Pullman, WA
• Providers in Pullman, WA by specialty
• Substance Abuse Rehabilitation Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.