Alta Vista School
LBN: Alta Vista Integrated Life Services
Alta Vista School is an health care organization with primary practice located at 1950 Pottery Ave S124 , Port Orchard WA 98366-2501. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Alta Vista Integrated Life Services can be contacted via phone (360) 900-7190, or through Ruiz, Ashley via phone (360) 900-7190.
Contact Information
Primary practice address
1950 Pottery Ave S124
Port Orchard WA 98366-2501
Phone: (360) 900-7190
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1538726252 |
|---|---|
| LBN Legal business name | Alta Vista Integrated Life Services |
| DBA Doing business as | Alta Vista School |
| Authorized official | Ruiz, Ashley MSW, LICSW |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 29th, 2019 |
| Last updated | Jul 10th, 2024 - about 5 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538726252 | NPPES |
| Washington | MEDICAID | 2142431 |
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