1548478001 NPI number — RYTHER

Table of content: (NPI 1548478001)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548478001 NPI number — RYTHER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RYTHER
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:
RYTHER CHILD CENTER - MAIN
Provider Other Organization Name Type Code:
5
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:
1548478001
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/11/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2400 NE 95TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SEATTLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98115-2426
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-525-5050
Provider Business Mailing Address Fax Number:
206-525-9795

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2400 NE 95TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98115-2426
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-525-5050
Provider Business Practice Location Address Fax Number:
206-525-9795
Provider Enumeration Date:
05/18/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BRADY
Authorized Official First Name:
KAREN
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
206-525-5050

Provider Taxonomy Codes

  • Taxonomy code: 3245S0500X , with the licence number:  17005500 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1995125 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 321182 . This is a "VALUE OPTIONS" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: RY0175 . This is a "REGENCE RIDER - CD" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 022757002 . This is a "GROUP HEALTH - OUTPATIENT" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 1992411 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".




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