Organization Active NPI

Mountain View Health Limited Liability Company

  • Substance Abuse Rehabilitation Facility
  • Tukwila, WA
National Provider Identifier
1982298907
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
MOUNTAIN VIEW HEALTH LIMITED LIABILITY COMPANY
Practice address
13028 Interurban Ave S Ste 124
Tukwila, WA 98168-3340
Phone
(253) 670-5993
NPI assigned
Feb 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Authorized official

Name
Tanner Jordan Monstad
Title
Owner/Ceo
Phone
(253) 670-5993

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

13028 Interurban Ave S Ste 124
Tukwila, WA 98168-3340

Mailing address

PO Box 68816
Seattle, WA 98168-0816
Phone (253) 670-5993

National Provider Directory

National Provider Directory

Locations

13028 Interurban Ave S
Ste 124
Tukwila, WA 98168
Phone (253) 670-5993

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1982298907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68816",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981680816",
            "telephone_number": "253-670-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13028 INTERURBAN AVE S STE 124",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981683340",
            "telephone_number": "253-670-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW HEALTH LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-20",
        "status": "A",
        "authorized_official_last_name": "MONSTAD",
        "authorized_official_first_name": "TANNER",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "253-670-5993"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.