Olympic Oesd114

LBN: Olympic Oesd114
Olympic Oesd114 is an health care organization with primary practice located at 2000 Allen St , Kelso WA 98626-5002. The organization recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as the primary health care specialty. Olympic Oesd114 can be contacted via phone (360) 405-5843, or through Bigby, Walt via phone (360) 405-5843.

Contact Information

Primary practice address
2000 Allen St Kelso WA 98626-5002
Fax: (360) 782-5081
Website:
Authorized official contact:
Name: Bigby, Walt

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X Washington

Profile Details

NPI number 1093921108
LBN Legal business name Olympic Oesd114
DBA Doing business as
Authorized official Bigby, Walt
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2007
Last updated Jul 21st, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093921108 NPPES
Washington MEDICAID 1991231

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