Organization Active NPI

Cascade Health Services PLLC

Doing business as Kala Clinic

  • Primary Care Clinic/Center
  • Port Townsend, WA
National Provider Identifier
1669918876
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CASCADE HEALTH SERVICES PLLC
Doing business as
Kala Clinic
Practice address
32 Kala Square PL
Port Townsend, WA 98368-9804
Phone
(360) 344-8166
Fax
(360) 379-6518
NPI assigned
Jan 11, 2017
Last updated
Jan 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Authorized official

Name
Debbie Fountain
Title
Clinic Operations Manager
Phone
(360) 344-8166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X WA Primary

Addresses

Primary practice location

32 Kala Square PL
Port Townsend, WA 98368-9804

Mailing address

32 Kala Square PL
Port Townsend, WA 98368-9804
Phone (360) 344-8166

Other names 1

  • Kala Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cascade Health Services PLLC2 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": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1669918876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 KALA SQUARE PL",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983689804",
            "telephone_number": "360-344-8166",
            "fax_number": "360-379-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 KALA SQUARE PL",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983689804",
            "telephone_number": "360-344-8166",
            "fax_number": "360-379-6518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE HEALTH SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "FOUNTAIN",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "CLINIC OPERATIONS MANAGER",
        "authorized_official_telephone_number": "360-344-8166"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kala Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Townsend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.