Organization Active NPI

The Coffee Oasis

  • Community/Behavioral Health Agency
  • Bremerton, WA
National Provider Identifier
1982160503
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE COFFEE OASIS
Practice address
837 4TH St
Bremerton, WA 98337-1424
Phone
(360) 377-5560
Fax
(360) 377-5560
NPI assigned
Feb 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Authorized official

Name
Joshua John William Goss
Title
Crisis Response Team Manager
Phone
(360) 377-5560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

837 4TH St
Bremerton, WA 98337-1424

Mailing address

837 4TH St
Bremerton, WA 98337-1424
Phone (360) 377-5560

Other practice location 1

807 Bay St Ste A
Port Orchard, WA 98366-5203
Phone (360) 602-0408

Other practice location 2

780 NE Iverson St
Poulsbo, WA 98370-7477
Phone (360) 598-2091

National Provider Directory

National Provider Directory

Locations

837 4th St
Bremerton, WA 98337
Phone (360) 377-5560

807 Bay St
Ste A
Port Orchard, WA 98366
Phone (360) 602-0408

780 NE Iverson St
Poulsbo, WA 98370
Phone (360) 598-2091

NPI Registry JSON

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1982160503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 4TH ST",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983371424",
            "telephone_number": "360-377-5560",
            "fax_number": "360-377-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 4TH ST",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983371424",
            "telephone_number": "360-377-5560",
            "fax_number": "360-377-5560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "807 Bay St Ste A",
            "address_purpose": "LOCATION",
            "city": "Port Orchard",
            "state": "WA",
            "postal_code": "983665203",
            "country_code": "US",
            "telephone_number": "360-602-0408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "780 NE Iverson St",
            "address_purpose": "LOCATION",
            "city": "Poulsbo",
            "state": "WA",
            "postal_code": "983707477",
            "country_code": "US",
            "telephone_number": "360-598-2091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE COFFEE OASIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "GOSS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "JOHN WILLIAM",
        "authorized_official_title_or_position": "CRISIS RESPONSE TEAM MANAGER",
        "authorized_official_telephone_number": "360-377-5560"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.