Active NPI
Recovery Centers of King County
- Substance Use Disorder Rehabilitation Clinic/Center
- Seattle, WA
National Provider Identifier
1538212279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- RECOVERY CENTERS OF KING COUNTY
- Practice address
- 464 12TH Ave
Suite 300
Seattle, WA 98122-5567 - Phone
- (206) 322-2970
- Fax
- (206) 568-8253
- NPI assigned
- Jan 18, 2007
- Last updated
- Apr 27, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marilyn Rusness
- Title
- A/P-Billing Specialist
- Phone
- (206) 568-8226
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | WA | Primary |
Addresses
Primary practice location
464 12TH Ave
Suite 300
Seattle, WA 98122-5567
Mailing address
464 12TH Ave
Suite 300
Seattle, WA 98122-5567
Phone (206) 322-2970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1012816 | Medicaid | WA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303862400000",
"number": "1538212279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 12TH AVE",
"address_2": "SUITE 300",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981225567",
"telephone_number": "206-322-2970",
"fax_number": "206-568-8253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 12TH AVE",
"address_2": "SUITE 300",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981225567",
"telephone_number": "206-322-2970",
"fax_number": "206-568-8253"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RECOVERY CENTERS OF KING COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2011-04-27",
"status": "A",
"authorized_official_last_name": "RUSNESS",
"authorized_official_first_name": "MARILYN",
"authorized_official_title_or_position": "A/P-BILLING SPECIALIST",
"authorized_official_telephone_number": "206-568-8226"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1012816",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.