Pro Med Alliance Medical Staffing

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRO MED ALLIANCE MEDICAL STAFFING

Practice address

23830 Pacific Hwy S Ste 201
Kent, WA 98032-7703

Phone

(503) 465-7928

Fax

(206) 429-2669

NPI assigned

Apr 9, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Cinceria Dowlen

Title

Admin/Office Manager

Phone

(503) 465-7928

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554768000000",
    "number": "1790248557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23830 PACIFIC HWY S STE 201",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980327703",
            "telephone_number": "503-465-7928",
            "fax_number": "206-429-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23830 PACIFIC HWY S STE 201",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980327703",
            "telephone_number": "503-465-7928",
            "fax_number": "206-429-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO MED ALLIANCE MEDICAL STAFFING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-04-09",
        "status": "A",
        "authorized_official_last_name": "DOWLEN",
        "authorized_official_first_name": "CINCERIA",
        "authorized_official_title_or_position": "ADMIN/OFFICE MANAGER",
        "authorized_official_telephone_number": "503-465-7928",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Kent, WA
• Providers in Kent, WA by specialty
• Home Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.