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Organization

CENTERWELL CERTIFIED HEALTHCARE CORP.

Active
Other names
CenterWell Home Health
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(360) 373-6966
Entity
Organization

Contact information

Practice address
10049 KITSAP MALL BLVD NW STE 201, SILVERDALE, WA 98383-8901
(360) 373-6966
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
013100P
WA-COMMERCIAL NUMBER
01
1018057
WA-COMMERCIAL NUMBER
01
11-3414024
WA-COMMERCIAL NUMBER
01
113414024
WA-COMMERCIAL NUMBER
01
1173
WA-BLUE CROSS
01
135181
WA-COMMERCIAL NUMBER
01
2223178
WA-COMMERCIAL NUMBER
01
235394
WA-COMMERCIAL NUMBER
01
300066152
WA-COMMERCIAL NUMBER
01
321563001
WA-COMMERCIAL NUMBER
01
321563003
WA-COMMERCIAL NUMBER
01
507106
WA-COMMERCIAL NUMBER
01
565800
WA-COMMERCIAL NUMBER
01
651-YI
WA-COMMERCIAL NUMBER
01
7271048
WA-COMMERCIAL NUMBER
05
9041591
WA
05
9041609
WA
Enumeration date
07/05/2006
Last updated
12/19/2023
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