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Contact Information

GREAT RIVERS BEHAVIORAL HEALTH ORGANIZATION
57 W MAIN STREET
SUITE 260
CHEHALIS, WA98532
 Phone: 360-795-5955
 Fax: 360-740-8099
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for GREAT RIVERS BEHAVIORAL HEALTH ORGANIZATION

NPI Number 1285155366
LBN Legal business name GREAT RIVERS BEHAVIORAL HEALTH ORGANIZATION
Authorized official MARC BOLLINGER - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/29/2017
Last updated 06/16/2018 - About 8 years ago
Identifiers
WA License # 603564565
WA Medicaid 200458
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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