Active NPI
Chelan-Douglas Health District
- Public Health or Welfare Agency
- East Wenatchee, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- 60005350554
- Legal business name
- CHELAN-DOUGLAS HEALTH DISTRICT
- Practice address
- 200 Valley Mall Parkway
East Wenatchee, WA 98802 - Phone
- (509) 886-6400
- Fax
- (509) 886-6478
- NPI assigned
- Oct 11, 2006
- Last updated
- Dec 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Barry W Kling
- Title
- Administrator
- Phone
- (509) 886-6480
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 60005350554 | WA | Primary |
Addresses
Primary practice location
200 Valley Mall Parkway
East Wenatchee, WA 98802
Mailing address
200 Valley Mall Parkway
East Wenatchee, WA 98802
Phone (509) 886-6400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7403538 | Medicaid | WA | |
| 7311004 | Medicaid | WA | |
| 7401185 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040309001223 | WA | Part B Supplier - Mass Immunization (Roster Biller Only) | 0840188918 | Practice locations: East Wenatchee, WA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2129440 | Chelan Douglas Health District Wic | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
200 Valley Mall Pkwy
East Wenatchee, WA 98802
Phone (509) 664-5306
316 Washington St
Wenatchee, WA 98801
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Wenatchee, WA
- NPI 1922195312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291680000000",
"number": "1730278755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 VALLEY MALL PARKWAY",
"city": "EAST WENATCHEE",
"state": "WA",
"postal_code": "98802",
"telephone_number": "509-886-6400",
"fax_number": "509-886-6478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 VALLEY MALL PARKWAY",
"city": "EAST WENATCHEE",
"state": "WA",
"postal_code": "98802",
"telephone_number": "509-886-6400",
"fax_number": "509-886-6478"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHELAN-DOUGLAS HEALTH DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-11",
"last_updated": "2010-12-07",
"status": "A",
"authorized_official_last_name": "KLING",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "509-886-6480",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "WA",
"license": "60005350554",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7403538",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7311004",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7401185",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Wenatchee, WA
- Can DO Kids Therapy Services (Can Do Kids)
- Central Washington Health Services Association (Confluence Health East Wenatchee Clinic)
- Giovanni Cervantes
- Justine Ann Champion, LMT
- Jeanine Chase
- Michael C Civile
- Kevin Clive, DDS
- Cydne Cochran, LMHCA
- Angel Collins
- Columbia Valley Community Health (980 East Behavioral)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.