Amerigroup Washington, Inc.

LBN: Amerigroup Washington, Inc.
Amerigroup Washington, Inc. is an health care organization with primary practice located at 705 5Th Avenue South Suite 300, Seattle WA 98104. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Amerigroup Washington, Inc. can be contacted via phone (206) 674-4462, or through Edmonds, Daryl via phone (206) 674-4462.

Contact Information

Primary practice address
705 5Th Avenue South Suite 300 Seattle WA 98104
Phone: (206) 674-4462
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Edmonds, Daryl
Phone: (206) 674-4462

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 500653 Washington

Profile Details

NPI number 1699040857
LBN Legal business name Amerigroup Washington, Inc.
DBA Doing business as
Authorized official Edmonds, Daryl
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 20th, 2012
Last updated Dec 7th, 2016 - about 8 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 1699040857 NPPES
Washington MEDICAID 603047676

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