NPIMap

Organization Active NPI

Aging Resources

  • Health Maintenance Organization
  • Vancouver, WA
National Provider Identifier
1972854370
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
602-412-767 Issued in WA
Legal business name
AGING RESOURCES
Practice address
7710 NE Vancouver Mall Dr Ste C
Vancouver, WA 98662-6485
Phone
(360) 574-5293
Fax
(360) 574-7824
NPI assigned
Sep 25, 2012
Last updated
Sep 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Authorized official

Name
Mrs. Gail Haskett
Title
President
Phone
(360) 574-5293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 602-412-767 WA Primary

Addresses

Primary practice location

7710 NE Vancouver Mall Dr Ste C
Vancouver, WA 98662-6485

Mailing address

7710 NE Vancouver Mall Dr Ste C
Vancouver, WA 98662-6485
Phone (360) 574-5293

National Provider Directory

National Provider Directory

Locations

7710 NE Vancouver Mall Dr
Ste C
Vancouver, WA 98662
Phone (360) 574-5293

NPI Registry JSON

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1972854370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 NE VANCOUVER MALL DR STE C",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626485",
            "telephone_number": "360-574-5293",
            "fax_number": "360-574-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 NE VANCOUVER MALL DR STE C",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626485",
            "telephone_number": "360-574-5293",
            "fax_number": "360-574-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGING RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "HASKETT",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-574-5293",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "WA",
            "license": "602-412-767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.