Council on Aging & Human Services

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Legal business name

COUNCIL ON AGING & HUMAN SERVICES

Practice address

210 S Main St
Colfax, WA 99111-1820

Phone

(509) 394-4611

Fax

(509) 397-2917

NPI assigned

Jun 22, 2007

Organization subpart

No

Name

Mr. Scott Hallett

Title

Nutrition Program Director

Phone

(509) 397-4611

Tax ID family

Council on Aging Human Services2 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.

• Council on Aging & Human Services

  • Non-emergency Medical Transport (VAN)
  • Colfax, WA
  • NPI 1366474785
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609072016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S MAIN ST",
            "address_2": "PO BOX 107",
            "city": "COLFAX",
            "state": "WA",
            "postal_code": "991111820",
            "telephone_number": "509-394-4611",
            "fax_number": "509-397-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S MAIN ST",
            "city": "COLFAX",
            "state": "WA",
            "postal_code": "991111820",
            "telephone_number": "509-394-4611",
            "fax_number": "509-397-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNCIL ON AGING & HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALLETT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "NUTRITION PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "509-397-4611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSPS - COPES",
            "identifier": "051992",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9030859",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colfax of Cascadia, LLC
• Colfax School District
• Brent Logan Conrad, MD
• Kevin Constantin, DPT
• Council on Aging & Human Services
• County of Whitman
• Deacon'S Medical Equipment
• Dr Healthy Foot PLLC
• Bradyn Reis Ellis, DDS
• Elizabeth Breanna Evangelista, MD

• All providers in Colfax, WA
• Parenteral & Enteral Nutrition Supplies (DME) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.