Capital Recovery Center
LBN: Capital Clubhouse
Capital Recovery Center is an health care organization with primary practice located at 1000 Cherry St Se , Olympia WA 98501-1433. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Primary Care. Agencies / Community/Behavioral Health is the primary health care specialty.
Capital Clubhouse can be contacted via phone (360) 357-2582, or through Mccoy, Katrina Rachele via phone (360) 357-2582.
Contact Information
Primary practice address
1000 Cherry St Se
Olympia WA 98501-1433
Phone: (360) 357-2582
Fax: (360) 357-2821
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | 601-217-168 | Washington |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1255571063 |
|---|---|
| LBN Legal business name | Capital Clubhouse |
| DBA Doing business as | Capital Recovery Center |
| Authorized official | Mccoy, Katrina Rachele |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 6th, 2009 |
| Last updated | Jun 3rd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255571063 | NPPES |
| Washington | MEDICAID | 2002974 |
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