Organization Active NPI

Prohealth Providers LLC

Doing business as none

  • Clinic/Center
  • Puyallup, WA
National Provider Identifier
1922751346
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PROHEALTH PROVIDERS LLC
Doing business as
none
Practice address
10908 56TH Avenue CT E Apt P302
Puyallup, WA 98373-5763
Phone
(125) 353-3355
NPI assigned
Jan 27, 2022
Last updated
Jan 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Authorized official

Name
Jane BellNPI 1811651474
Title
Governor
Phone
(253) 533-3553

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

10908 56TH Avenue CT E Apt P302
Puyallup, WA 98373-5763

Mailing address

10908 56TH Avenue CT E Apt P302
Puyallup, WA 98373-5763
Phone (125) 353-3355

Other names 1

  • none Doing business as

National Provider Directory

National Provider Directory

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": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1922751346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10908 56TH AVENUE CT E APT P302",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983735763",
            "telephone_number": "125-353-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10908 56TH AVENUE CT E APT P302",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983735763",
            "telephone_number": "125-353-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "GOVERNOR",
        "authorized_official_telephone_number": "253-533-3553"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.