Organization Active NPI

Chelan-Douglas Health District

  • Public Health or Welfare Agency
  • East Wenatchee, WA
National Provider Identifier
1730278755
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
60005350554 Issued in WA
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7403538MedicaidWA
7311004MedicaidWA
7401185MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040309001223 WA Part B Supplier - Mass Immunization (Roster Biller Only) 0840188918 Practice locations: East Wenatchee, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2129440Chelan Douglas Health District Wic200 Valley Mall Pkwy, East Wenatchee, WA 98802Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.