Organization Active NPI

Council on Aging & Human Services

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Colfax, WA
National Provider Identifier
1609072016
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
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
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Scott Hallett
Title
Nutrition Program Director
Phone
(509) 397-4611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X Primary

Addresses

Primary practice location

210 S Main St
Colfax, WA 99111-1820

Mailing address

210 S Main St
PO Box 107
Colfax, WA 99111-1820
Phone (509) 394-4611

National Provider Directory

National Provider Directory
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.

Locations

210 S Main St
Colfax, WA 99111
Phone (509) 394-4611

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colfax, WA

Sources for this page

  • 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.