South Sound Clinic

LBN: Evergreen Treatment Services
South Sound Clinic is an health care organization with primary practice located at 6700 Martin Way E Ste 117 , Olympia WA 98516-5586. The organization recently has only one registered license in Ambulatory Health Care Facilities / Methadone, which is considered as the primary health care specialty. Evergreen Treatment Services can be contacted via phone (360) 413-6910, or through Carney, Margaret via phone (206) 223-3644.

Contact Information

Primary practice address
6700 Martin Way E Ste 117 Olympia WA 98516-5586
Phone: (360) 413-6910
Fax: (360) 413-9026
Website:
Map and Directions
Authorized official contact:
Name: Carney, Margaret
Phone: (206) 223-3644

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Methadone 261QM2800X 34111900 Washington

Profile Details

NPI number 1871729491
LBN Legal business name Evergreen Treatment Services
DBA Doing business as South Sound Clinic
Authorized official Carney, Margaret
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2009
Last updated Apr 11th, 2017 - 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 1871729491 NPPES
Washington MEDICAID 8008203
Washington MEDICAID 1995927

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