North Sound Behavioral Health Administrative Services Organization Llc | |
301 Valley Mall Way Ste 110 Mount Vernon WA 98273-5462 | |
(360) 416-7013 | |
Not Available |
Full Name | North Sound Behavioral Health Administrative Services Organization Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 301 Valley Mall Way Ste 110, Mount Vernon, Washington |
Authorized Official Name and Position | Charles Deelena (COMPLIANCE OFFICER/PROJECT MANAGER) |
Authorized Official Contact | 3604167013 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
North Sound Behavioral Health Administrative Services Organization Llc 301 Valley Mall Way Ste 110 Mount Vernon WA 98273-5462 Ph: (360) 416-7013 | North Sound Behavioral Health Administrative Services Organization Llc 301 Valley Mall Way Ste 110 Mount Vernon WA 98273-5462 Ph: (360) 416-7013 |
NPI Number | 1689294563 |
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Provider Enumeration Date | 04/21/2020 |
Last Update Date | 04/21/2020 |
Certification Date | 04/21/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689294563 | NPI | - | NPPES |
105020903 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
302R00000X | Health Maintenance Organization | (* (Not Available)) | Secondary |
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