Organization Active NPI

Recovery Centers of King County

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Kent, WA
National Provider Identifier
1619020302
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
RECOVERY CENTERS OF KING COUNTY
Practice address
505 Washington Ave S
Kent, WA 98032-5709
Phone
(253) 854-6513
Fax
(253) 854-6521
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

505 Washington Ave S
Kent, WA 98032-5709

Mailing address

464 12TH Ave
Suite 300
Seattle, WA 98122-5567
Phone (206) 322-2970

Other identifiers 1

IdentifierTypeStateIssuer
1014574MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Recovery Centers of King County2 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.

NPI 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": "1303776000000",
    "number": "1619020302",
    "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": "505 WASHINGTON AVE S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325709",
            "telephone_number": "253-854-6513",
            "fax_number": "253-854-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY CENTERS OF KING COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2011-04-26",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014574",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.

Verify at the official NPI Registry.