NPIMap

Organization Active NPI

Comprehensive Healthcare

  • Community/Behavioral Health Agency
  • Goldendale, WA
National Provider Identifier
1720207830
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMPREHENSIVE HEALTHCARE
Practice address
112 W Main St
Goldendale, WA 98620
Phone
(509) 773-5801
NPI assigned
Apr 25, 2007
Organization subpart
Yes
Parent organization
COMPREHENSIVE HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Authorized official

Name
Jodi Daly
Title
President/Ceo
Phone
(509) 575-4084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

112 W Main St
Goldendale, WA 98620

Mailing address

PO Box 959
Yakima, WA 98907-0959

Other identifiers 1

IdentifierTypeStateIssuer
1994466MedicaidWA

Other names 1

  • Central Washington Comprehensive Mental Health Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Central Wa Comprehensiv28 organizations share this tax ID, including this one
Part of
Central Wa Comprehensiv

Other organizations with this tax ID 27

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

View all 27

Locations

112 W Main St
Goldendale, WA 98620
Phone (509) 773-5633

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1720207830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989070959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W MAIN ST",
            "city": "GOLDENDALE",
            "state": "WA",
            "postal_code": "98620",
            "telephone_number": "509-773-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPREHENSIVE HEALTHCARE",
        "enumeration_date": "2007-04-25",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "509-575-4084"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1994466",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Washington Comprehensive Mental Health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Goldendale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.