1932325313 NPI number — UNIVERSAL TREATMENT CENTER, INC

Table of content: (NPI 1932325313)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932325313 NPI number — UNIVERSAL TREATMENT CENTER, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIVERSAL TREATMENT CENTER, INC
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:
1932325313
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:
222 2ND ST NE
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
AUBURN
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98002-5040
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
253-333-2737
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
222 2ND ST NE
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
AUBURN
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98002-5040
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-333-2737
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/17/2007

Additional Information

Authorized Official

Authorized Official Last Name:
FILTON
Authorized Official First Name:
STEVE
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO, SENIOR VICE PRESIDENT
Authorized Official Telephone Number:
610-768-3300

Provider Taxonomy Codes

  • Taxonomy code: 261QX0203X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 7064389 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".




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