NPIMap

Organization Active NPI

Eugenia Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Aberdeen, WA
National Provider Identifier
1700411816
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
EUGENIA CENTER
Practice address
405 North Park Street
Aberdeen, WA 98520-3924
Phone
(360) 660-1011
Fax
(360) 660-1009
NPI assigned
Mar 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Fabiola Gonzalez
Title
Ceo
Phone
(360) 266-5585

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

405 North Park Street
Aberdeen, WA 98520-3924

Mailing address

PO Box 1371
Chehalis, WA 98532-2677
Phone (360) 266-5585

Other identifiers 1

IdentifierTypeStateIssuer
1009072MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Eugenia Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

501 N Broadway St
Aberdeen, WA 98520
Phone (360) 537-5914

405 N Park St
Aberdeen, WA 98520
Phone (360) 660-1011

Practitioners & affiliated clinicians

Practitioners 2

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": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1700411816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1371",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985322677",
            "telephone_number": "360-266-5585",
            "fax_number": "360-262-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 NORTH PARK STREET",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985203924",
            "telephone_number": "360-660-1011",
            "fax_number": "360-660-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENIA CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2024-01-31",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "FABIOLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-266-5585"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": "1009072",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.