1992855506 NPI number — GRAYS HARBOR COUNTY TREASURER

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992855506 NPI number — GRAYS HARBOR COUNTY TREASURER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GRAYS HARBOR COUNTY TREASURER
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:
GRAYS HARBOR COUNTY PUBLIC HEALTH AND SOCIAL SERVICES
Provider Other Organization Name Type Code:
3
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:
1992855506
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:
2109 SUMNER AVE
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:
98520-3600
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-532-8665
Provider Business Mailing Address Fax Number:
360-533-1983

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2109 SUMNER AVE
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:
98520-3600
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-532-8665
Provider Business Practice Location Address Fax Number:
360-533-1983
Provider Enumeration Date:
01/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MACHOWEK
Authorized Official First Name:
LUCY
Authorized Official Middle Name:
Authorized Official Title or Position:
DEPUTY DIRECTOR, CFO
Authorized Official Telephone Number:
360-532-8665

Provider Taxonomy Codes

  • Taxonomy code: 251K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 7400567 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".




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