NPIMap

Organization Active NPI

Pierce County Alliance

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Olympia, WA
National Provider Identifier
1629362108
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
34140400 Issued in WA
Legal business name
PIERCE COUNTY ALLIANCE
Practice address
2000 Lakeridge Dr. SW
BLDG. 2 Thurston County Drug Court
Olympia, WA 98502
Phone
(360) 357-2482
NPI assigned
Jun 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 34140400 WA Primary

Addresses

Primary practice location

2000 Lakeridge Dr. SW
BLDG. 2 Thurston County Drug Court
Olympia, WA 98502

Mailing address

510 Tacoma Ave S
Tacoma, WA 98402-5416
Phone (253) 502-5403

Other identifiers 1

IdentifierTypeStateIssuer
1588869093MedicaidWA

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

2000 Lakeridge Dr SW
Bldg 2
Olympia, WA 98502
Phone (360) 357-2482

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 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1629362108",
    "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": "253-502-5403",
            "fax_number": "253-272-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 LAKERIDGE DR. SW",
            "address_2": "BLDG. 2 THURSTON COUNTY DRUG COURT",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98502",
            "telephone_number": "360-357-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERCE COUNTY ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2011-06-02",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "WA",
            "license": "34140400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588869093",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.