NPIMap

Organization Active NPI

County of Pierce

  • Community/Behavioral Health Agency
  • Tacoma, WA
National Provider Identifier
1417190612
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
RTF - FS - 00001077 Issued in WA
Legal business name
COUNTY OF PIERCE
Doing business as
Pierce County Residential Treatment Facility
Practice address
3580 Pacific Ave
Tacoma, WA 98418-7915
Phone
(253) 798-4500
Fax
(253) 798-4493
NPI assigned
Apr 17, 2009
Organization subpart
Yes
Parent organization
COUNTY OF PIERCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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

Authorized official

Name
Mr. David E. Stewart
Title
Director
Phone
(253) 798-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X RTF - FS - 00001077 WA Primary

Addresses

Primary practice location

3580 Pacific Ave
Tacoma, WA 98418-7915

Mailing address

3580 Pacific Ave
Tacoma, WA 98418-7915
Phone (253) 798-4500

Other identifiers 8

IdentifierTypeStateIssuer
6030548MedicaidWA
7139710MedicaidWA
7142797MedicaidWA
8949228OtherSTATE OF WA L&I CRIME VICTIMS COMPENSATION PROGRAM
L&IOtherWA146316
7136344MedicaidWA
9657370MedicaidWA
0221418OtherWASTATE OF WA L&I PHARMACY #

Other names 1

  • Pierce County Residential Treatment Facility Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pierce County Juvenile Court7 organizations share this tax ID, including this one
Part of
Pierce County Juvenile Court

Other organizations with this tax ID 6

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": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1417190612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984187915",
            "telephone_number": "253-798-4500",
            "fax_number": "253-798-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984187915",
            "telephone_number": "253-798-4500",
            "fax_number": "253-798-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF PIERCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF PIERCE",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "253-798-4500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "RTF - FS - 00001077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6030548",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7139710",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7142797",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WA L&I CRIME  VICTIMS COMPENSATION PROGRAM",
            "identifier": "8949228",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "146316",
            "identifier": "L&I",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7136344",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9657370",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WA L&I PHARMACY #",
            "identifier": "0221418",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pierce County Residential Treatment Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 17, 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.