The Lord'S Gym Vancouver USA

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

THE LORD'S GYM VANCOUVER USA

Practice address

2410 Grand Blvd
Vancouver, WA 98661

Phone

(360) 718-7279

NPI assigned

Dec 5, 2022

Organization subpart

No

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

Authorized official

Name

Nicole Michelle Turner

Title

Bookkeeper/Treasurer

Phone

(360) 903-3911

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1558071126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2275",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98668",
            "telephone_number": "360-718-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 GRAND BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98661",
            "telephone_number": "360-718-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LORD'S GYM VANCOUVER USA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "BOOKKEEPER/TREASURER",
        "authorized_official_telephone_number": "360-903-3911"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.