| Catholic Community Services Of Western Washington | |
|
1133 Railroad Ave Bellingham WA 98225-5055 | |
| (360) 676-2164 | |
| (360) 676-2144 |
| Full Name | Catholic Community Services Of Western Washington |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1133 Railroad Ave, Bellingham, Washington |
| Authorized Official Name and Position | Stephanie M. Thelen (COMPLIANCE & POLICY ANALYST) |
| Authorized Official Contact | 2537613898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Community Services Of Western Washington 1133 Railroad Ave Bellingham WA 98225-5055 Ph: () - | Catholic Community Services Of Western Washington 1133 Railroad Ave Bellingham WA 98225-5055 Ph: (360) 676-2164 |
| NPI Number | 1548332190 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 10/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548332190 | NPI | - | NPPES |
| 1985902 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 027 (Washington) | Primary |
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