NPIMap

Organization Active NPI

Northwest Asthma Allergy Centers

  • Specialist
  • Chehalis, WA
National Provider Identifier
1851721179
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00042579 Issued in WA
Legal business name
NORTHWEST ASTHMA ALLERGY CENTERS
Practice address
409 S Market Blvd
Chehalis, WA 98532-3043
Phone
(360) 896-2222
Fax
(360) 896-8881
NPI assigned
Nov 22, 2013
Organization subpart
Yes
Parent organization
NORTHWEST ASTHMA ALLERGY CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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

Authorized official

Name
Cassie Le
Title
Receptionist
Phone
(360) 896-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X MD00042579 WA Primary

Addresses

Primary practice location

409 S Market Blvd
Chehalis, WA 98532-3043

Mailing address

PO Box 821046
Vancouver, WA 98682-0024
Phone (360) 896-2222

Other identifiers 1

IdentifierTypeStateIssuer
7119860MedicaidWA

Other names 1

  • Allergy & Asthma Centers of Olympia Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Allergy Asthma Centers of4 organizations share this tax ID, including this one
Part of
Allergy Asthma Centers of

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1851721179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 821046",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986820024",
            "telephone_number": "360-896-2222",
            "fax_number": "360-896-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 S MARKET BLVD",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985323043",
            "telephone_number": "360-896-2222",
            "fax_number": "360-896-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ASTHMA ALLERGY CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST ASTHMA ALLERGY CENTERS",
        "enumeration_date": "2013-11-22",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "360-896-2222"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00042579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7119860",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy & Asthma Centers of Olympia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chehalis, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.