Organization Active NPI

Pope's Kids Place

  • Pediatric Hospice and Palliative Medicine Physician
  • Centralia, WA
National Provider Identifier
1649497603
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hospice and Palliative Medicine PhysicianTaxonomy code 2080H0002X
Legal business name
POPE'S KIDS PLACE
Practice address
230 Washington Way
Centralia, WA 98531-9325
Phone
(360) 736-9178
Fax
(360) 736-8312
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Frank Millwood
Title
Executive Director
Phone
(360) 736-9178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hospice and Palliative Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080H0002X Primary

Addresses

Primary practice location

230 Washington Way
Centralia, WA 98531-9325

Mailing address

230 Washington Way
Centralia, WA 98531-9325
Phone (360) 736-9178

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1649497603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 WASHINGTON WAY",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985319325",
            "telephone_number": "360-736-9178",
            "fax_number": "360-736-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 WASHINGTON WAY",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985319325",
            "telephone_number": "360-736-9178",
            "fax_number": "360-736-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPE'S KIDS PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "MILLWOOD",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "360-736-9178"
    },
    "taxonomies": [
        {
            "code": "2080H0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.