Coordinated Care Of Washington

NPI 1174917611 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1174917611
Enumeration Date 03/23/2015
Last Updated 03/23/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name JENNIFER JENNIFER
Position MANAGER OF COMPLIANCE AND REPORTING
Phone (877) 644-4613
Fax
Practice Location
1145 BROADWAY
TACOMA WA, 98402-3583, US
Phone (877) 644-4613
Fax
Business Location
1145 BROADWAY
TACOMA WA, 98402-3583, US
Phone (877) 644-4613
Fax
Toxanomy
Taxonomy Code 302R00000X
License State Washington
License Number 603293815
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According to our database, Coordinated Care Of Washington NPI is 1174917611, taxonomy code is 302R00000X and license number is 603293815, license state is located at Washington. Coordinated Care Of Washington physically located at 1145 Broadway, Tacoma WA, 98402-3583. NPI Number 1033115704 has the healthcare provider type.

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1174917611 NPI number is provided on an as is basis without warranty of any kind. 1174917611 is maintained by the National Plan & Provider Enumeration System. The contents of Coordinated Care Of Washington are for informational purposes only.