Provail Therapeutic And Assistive Technology Clinic

LBN: Provail
Provail Therapeutic And Assistive Technology Clinic is an health care organization with primary practice located at 12550 Aurora Ave N , Seattle WA 98133-8036. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Provail can be contacted via phone (206) 363-7303, or through Hatzenbeler, Michael via phone (206) 363-7303.

Contact Information

Primary practice address
12550 Aurora Ave N Seattle WA 98133-8036
Phone: (206) 363-7303
Fax: (206) 826-0181
Website:
Map and Directions
Authorized official contact:
Name: Hatzenbeler, Michael
Phone: (206) 363-7303

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SI00004391 Washington

Profile Details

NPI number 1477760197
LBN Legal business name Provail
DBA Doing business as Provail Therapeutic And Assistive Technology Clinic
Authorized official Hatzenbeler, Michael
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2007
Last updated Jun 21st, 2018 - about 6 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 1477760197 NPPES
Washington Other 55-0174569 LABOR AND INDUSTRIES
Washington MEDICAID 7070949-8347395 LABOR AND INDUSTRIES
Washington MEDICAID 7681083-8464992 LABOR AND INDUSTRIES
Washington Other 7368087 LABOR AND INDUSTRIES
Washington MEDICAID 7070949-8347429 LABOR AND INDUSTRIES
Washington MEDICAID 7681083-8415291 LABOR AND INDUSTRIES
Washington Other 397572001 LABOR AND INDUSTRIES

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