Amerigroup Washington, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

500653 Issued in WA

Legal business name

AMERIGROUP WASHINGTON, INC.

Practice address

705 5TH Avenue South
Suite 300
Seattle, WA 98104

Phone

(206) 674-4462

NPI assigned

Mar 20, 2012

Last updated

Dec 7, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

AMERIGROUP CORPORATIONAs reported in NPPES

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

Authorized official

Name

Mr. Daryl Edmonds

Title

President

Phone

(206) 674-4462

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Amerigroup Corporation

Locations

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1699040857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 5TH AVENUE SOUTH",
            "address_2": "SUITE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98104",
            "telephone_number": "206-674-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 5TH AVENUE SOUTH",
            "address_2": "SUITE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98104",
            "telephone_number": "206-674-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIGROUP WASHINGTON, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERIGROUP CORPORATION",
        "enumeration_date": "2012-03-20",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "EDMONDS",
        "authorized_official_first_name": "DARYL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-674-4462",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "WA",
            "license": "500653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "603047676",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• American Current Care of Washington, P.S. (Concentra Urgent Care)
• American Current Care of Washington, P.S. (Concentra Urgent Care)
• American Current Care of Washington, P.S. (Concentra Urgent Care)
• American Healthcare Services
• Daniella Americano
• Alicia Amerson, PPD
• Caitlin Ames, PSY.D.
• Chantel Ames, LMHC
• William R Ames, LPM
• Olivia Amestoy, LMSW

• Health Maintenance Organization in Seattle, WA
• Providers in Seattle, WA by specialty
• Health Maintenance Organization in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.