Matt Talbot Center

LBN: Catholic Community Services Of Western Washington
Matt Talbot Center is an health care organization with primary practice located at 100 23Rd Ave S , Seattle WA 98144-2302. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Catholic Community Services Of Western Washington can be contacted via phone (206) 328-5771, or through Thelen, Stephanie M. via phone (253) 761-3898.

Contact Information

Primary practice address
100 23Rd Ave S Seattle WA 98144-2302
Fax:
Website:
Authorized official contact:
Name: Thelen, Stephanie M.

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 17138600 Washington

Profile Details

NPI number 1750634275
LBN Legal business name Catholic Community Services Of Western Washington
DBA Doing business as Matt Talbot Center
Authorized official Thelen, Stephanie M.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2012
Last updated Oct 15th, 2018 - about 7 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 1750634275 NPPES
Washington MEDICAID 1055150

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