Organization Active NPI

Oesd 114 Prevention & Treatment Center

  • Local Education Agency (LEA)
  • Longview, WA
National Provider Identifier
1982811246
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
18 0515 00 Issued in WA
Legal business name
OESD 114 PREVENTION & TREATMENT CENTER
Practice address
2903 Nichols Blvd
Longview, WA 98632-2704
Phone
(360) 405-5843
Fax
(360) 782-5081
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Walt Bigby
Title
Superintendent
Phone
(360) 405-5843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 18 0515 00 WA Primary

Addresses

Primary practice location

2903 Nichols Blvd
Longview, WA 98632-2704

Mailing address

105 National Ave N
Bremerton, WA 98312-3537
Phone (360) 405-5843

Other identifiers 1

IdentifierTypeStateIssuer
1991231MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Oesd 114 Prevention Treatment Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2903 Nichols Blvd
Longview, WA 98632
Phone (360) 405-5843

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982811246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 NATIONAL AVE N",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983123537",
            "telephone_number": "360-405-5843",
            "fax_number": "360-782-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 NICHOLS BLVD",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322704",
            "telephone_number": "360-405-5843",
            "fax_number": "360-782-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OESD 114 PREVENTION & TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIGBY",
        "authorized_official_first_name": "WALT",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "360-405-5843",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WA",
            "license": "18 0515 00",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1991231",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.