Active NPI
Evergreen Treatment Services
- Methadone Clinic
- Seattle, WA
National Provider Identifier
1508911777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- License
- 17 0163 00
- Legal business name
- EVERGREEN TREATMENT SERVICES
- Practice address
- 1700 Airport Way S
Seattle, WA 98134-1618 - Phone
- (206) 223-3644
- Fax
- (206) 223-1482
- NPI assigned
- Jan 25, 2007
- Last updated
- Jan 2, 2020
- Organization subpart
- Yes
- Parent organization
- EVERGREEN TREATMENT SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Margaret Carney
- Title
- Executive Director
- Phone
- (206) 223-3644
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | 17 0163 00 | WA | Primary |
Addresses
Primary practice location
1700 Airport Way S
Seattle, WA 98134-1618
Mailing address
1700 Airport Way S
Seattle, WA 98134-1618
Phone (206) 223-3644
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1990100 | Medicaid | WA | |
| 8008203 | Medicaid | WA |
Other names 1
- Evergreen Treatment Services, Unit 1
National Provider Directory
National Provider Directory- Part of
- Evergreen Treatment Services Unit 5
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1577923200000",
"number": "1508911777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 AIRPORT WAY S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981341618",
"telephone_number": "206-223-3644",
"fax_number": "206-223-1482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 AIRPORT WAY S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981341618",
"telephone_number": "206-223-3644",
"fax_number": "206-223-1482"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVERGREEN TREATMENT SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EVERGREEN TREATMENT SERVICES",
"enumeration_date": "2007-01-25",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"status": "A",
"authorized_official_last_name": "CARNEY",
"authorized_official_first_name": "MARGARET",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "206-223-3644"
},
"taxonomies": [
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": "WA",
"license": "17 0163 00",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1990100",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8008203",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Evergreen Treatment Services, Unit 1",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Evergreen Treatment Services, Unit 1",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Seattle, WA
- Evergreen Eye Center, PLLC (Evergreen Eye Surgery Center)
- Evergreen Housing Solutions Incorporated (Evergreen Medical Respite Care)
- Evergreen Psychiatric Services, PLLC (Santosha Integrative Health)
- Evergreen Psychology, PLLC
- Evergreen Therapy PLLC
- Evergreen Treatment Services
- Evergreen Treatment Services Unit 2
- Evergreen Treatment Services Unit 3
- Evergreen Treatment Services Unit 4
- Evergreen Treatment Services Unit 6
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.