| Alliance For South Sound Health | |
|
3402 S 19th St Tacoma WA 98405-1702 | |
| (253) 552-8586 | |
| Not Available |
| Full Name | Alliance For South Sound Health |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 3402 S 19th St, Tacoma, Washington |
| Authorized Official Name and Position | William Glenn Robertson (CEO) |
| Authorized Official Contact | 2534031272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance For South Sound Health P.o. Box 5299 Ms: 820-5-pco Tacoma WA 98415-0299 Ph: () - | Alliance For South Sound Health 3402 S 19th St Tacoma WA 98405-1702 Ph: (253) 552-8586 |
| NPI Number | 1891298980 |
|---|---|
| Provider Enumeration Date | 03/14/2018 |
| Last Update Date | 08/04/2025 |
| Certification Date | 08/04/2025 |
| Medicare PECOS PAC ID | 5395094197 |
|---|---|
| Medicare Enrollment ID | O20180827002673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891298980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 283Q00000X | Psychiatric Hospital | (* (Not Available)) | Primary |
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