Organization Active NPI

A Healthy Risk, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Montesano, WA
National Provider Identifier
1730222837
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
14 0737 00 Issued in WA
Legal business name
A HEALTHY RISK, INC.
Practice address
315 W Marcy Ave
Montesano, WA 98563-3618
Phone
(360) 249-2297
Fax
(360) 249-2298
NPI assigned
Feb 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Troy Green, CDPNPI 1467771840
Title
Co Administrator
Phone
(360) 249-2297

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 14 0737 00 WA Primary

Addresses

Primary practice location

315 W Marcy Ave
Montesano, WA 98563-3618

Mailing address

315 W Marcy Ave
Montesano, WA 98563-3618
Phone (360) 249-2297

National Provider Directory

National Provider Directory

Locations

315 W Marcy Ave
Montesano, WA 98563
Phone (360) 249-8421

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730222837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W MARCY AVE",
            "city": "MONTESANO",
            "state": "WA",
            "postal_code": "985633618",
            "telephone_number": "360-249-2297",
            "fax_number": "360-249-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W MARCY AVE",
            "city": "MONTESANO",
            "state": "WA",
            "postal_code": "985633618",
            "telephone_number": "360-249-2297",
            "fax_number": "360-249-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A HEALTHY RISK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "CO ADMINISTRATOR",
        "authorized_official_telephone_number": "360-249-2297",
        "authorized_official_credential": "CDP"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "WA",
            "license": "14 0737 00",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montesano, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.