1144297938 NPI number — CITY OF ABERDEEN

Table of content: (NPI 1144297938)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144297938 NPI number — CITY OF ABERDEEN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITY OF ABERDEEN
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144297938
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/11/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
200 EAST MARKET STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ABERDEEN
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98520-5207
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-533-4100
Provider Business Mailing Address Fax Number:
360-537-5741

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
700 WEST MARKET STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ABERDEEN
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98520-5915
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-537-3283
Provider Business Practice Location Address Fax Number:
360-532-1254
Provider Enumeration Date:
03/01/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
GOLDING
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
L
Authorized Official Title or Position:
ASSISTANT CHIEF CITY OF ABERDEEN FI
Authorized Official Telephone Number:
360-537-3264

Provider Taxonomy Codes

  • Taxonomy code: 341600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 9257106 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0026722 . This is a "LABOR & INDUSTRIES" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 590161382 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".