1801016449 NPI number — CHELAN COUNTY PUBLIC HOSPITAL DIST #2

Table of content: JANET RITTENHOUSE MSSW, LMFT (NPI 1124157094)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801016449 NPI number — CHELAN COUNTY PUBLIC HOSPITAL DIST #2

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHELAN COUNTY PUBLIC HOSPITAL DIST #2
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:
1801016449
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
503 E HIGHLAND AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHELAN
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98816-8631
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
509-682-8517
Provider Business Mailing Address Fax Number:
509-682-6131

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
503 E HIGHLAND AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHELAN
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98816-8631
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-682-8517
Provider Business Practice Location Address Fax Number:
509-682-6131
Provider Enumeration Date:
04/26/2007

Additional Information

Authorized Official

Authorized Official Last Name:
DION
Authorized Official First Name:
JERRI
Authorized Official Middle Name:
D
Authorized Official Title or Position:
BUSINESS OFFICE MANAGER
Authorized Official Telephone Number:
509-682-8517

Provider Taxonomy Codes

  • Taxonomy code: 282NC0060X , with the licence number:  H-165 , 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: LA4740 . This is a "ASURIS REHAB NUMBER" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com