A Renewal Center Llc

LBN: A Renewal Center Llc
A Renewal Center Llc is an health care organization with primary practice located at 401 Olympia Ave Ne Ste 318 , Renton WA 98056-4117. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. A Renewal Center Llc can be contacted via phone (425) 227-0447, or through Whitmire, Donna Virginia via phone (425) 227-0447.

Contact Information

Primary practice address
401 Olympia Ave Ne Ste 318 Renton WA 98056-4117
Phone: (425) 227-0447
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Whitmire, Donna Virginia LMHC,CDP,NCGCII/BACC
Phone: (425) 227-0447

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X LH60528456 Washington

Profile Details

NPI number 1457723587
LBN Legal business name A Renewal Center Llc
DBA Doing business as
Authorized official Whitmire, Donna Virginia LMHC,CDP,NCGCII/BACC
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2015
Last updated Oct 28th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457723587 NPPES
Washington MEDICAID 110000273418

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