NPIMap

Organization Active NPI

Pierce County Alliance

  • Community/Behavioral Health Agency
  • Tacoma, WA
National Provider Identifier
1588869093
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
27019101 Issued in WA
Legal business name
PIERCE COUNTY ALLIANCE
Practice address
510 Tacoma Ave S
Tacoma, WA 98402-5416
Phone
(253) 572-4750
Fax
(253) 272-6788
NPI assigned
Jun 15, 2007
Last updated
Jul 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
John S Neiswender
Title
Cfo
Phone
(253) 502-5403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 27019101 WA Primary

Addresses

Primary practice location

510 Tacoma Ave S
Tacoma, WA 98402-5416

Mailing address

510 Tacoma Ave S
Tacoma, WA 98402-5416
Phone (253) 572-4750

Other identifiers 1

IdentifierTypeStateIssuer
1990647MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Pierce County Alliance2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2400 Bristol Ct SW
Olympia, WA 98502
Phone (360) 357-2482

510 Tacoma Ave S
Tacoma, WA 98402
Phone (253) 572-4750

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1588869093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 TACOMA AVE S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984025416",
            "telephone_number": "253-572-4750",
            "fax_number": "253-272-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 TACOMA AVE S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984025416",
            "telephone_number": "253-572-4750",
            "fax_number": "253-272-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERCE COUNTY ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "NEISWENDER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "253-502-5403"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "27019101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1990647",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 11, 2007; 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.