NPIMap

Organization Active NPI

DSHS/Dda/Fircrest School

  • Nursing Facility/Intermediate Care Facility
  • Shoreline, WA
National Provider Identifier
1750065827
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
DSHS/DDA/FIRCREST SCHOOL
Practice address
15230 15TH Ave NE
Shoreline, WA 98155-7130
Phone
(206) 361-3087
NPI assigned
Jun 9, 2023
Organization subpart
Yes
Parent organization
DEPARTMENT OF SOCIAL AND HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Authorized official

Name
Dr. Donald Robert Milligan, MD
Title
Medical Director
Phone
(206) 361-3087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X Primary

Addresses

Primary practice location

15230 15TH Ave NE
Shoreline, WA 98155-7130

Mailing address

15230 15TH Ave NE
Shoreline, WA 98155-7130
Phone (206) 361-3087

Other names 1

  • Fircrest RHC Other name

National Provider Directory

National Provider Directory
Tax ID family
Lynden School District16 organizations share this tax ID, including this one
Part of
Lynden School District

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1750065827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15230 15TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981557130",
            "telephone_number": "206-361-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15230 15TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981557130",
            "telephone_number": "206-361-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DSHS/DDA/FIRCREST SCHOOL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEPARTMENT OF SOCIAL AND HEALTH SERVICES",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "MILLIGAN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "206-361-3087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fircrest RHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.