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) 253-7746
Entity
Organization
Contact information
Practice address
204 SE STONE MILL DR STE 260, VANCOUVER, WA 98684-3507
(360) 253-7746
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
—
0802536745920
WA-COMMERCIAL NUMBER
—
01
—
1018040
WA-COMMERCIAL NUMBER
—
01
—
113414024
WA-COMMERCIAL NUMBER
—
01
—
113414024F
WA-COMMERCIAL NUMBER
—
01
—
1173
WA-BLUE CROSS
—
01
—
117319
WA-COMMERCIAL NUMBER
—
01
—
139256
WA-COMMERCIAL NUMBER
—
01
—
2223178
WA-COMMERCIAL NUMBER
—
01
—
300066151
WA-COMMERCIAL NUMBER
—
01
—
321563003
WA-COMMERCIAL NUMBER
—
01
—
507081
WA-COMMERCIAL NUMBER
—
01
—
7271048
WA-COMMERCIAL NUMBER
—
05
—
7405566
—
WA
05
—
7407638
—
WA
05
—
9040171
—
WA
05
—
9041146
—
WA
Enumeration date
07/05/2006
Last updated
11/29/2023
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