<Unavail>

LBN: Great Rivers Behavioral Health Organization
<Unavail> is an health care organization with primary practice located at 57 W Main Street Suite 260, Chehalis WA 98532. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Great Rivers Behavioral Health Organization can be contacted via phone (360) 795-5955, or through Bollinger, Marc Edmund via phone (360) 795-5955.

Contact Information

Primary practice address
57 W Main Street Suite 260 Chehalis WA 98532
Phone: (360) 795-5955
Fax: (360) 740-8099
Website:
Map and Directions
Authorized official contact:
Name: Bollinger, Marc Edmund LICSW
Phone: (360) 795-5955

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 603564565 Washington

Profile Details

NPI number 1285155366
LBN Legal business name Great Rivers Behavioral Health Organization
DBA Doing business as <Unavail>
Authorized official Bollinger, Marc Edmund LICSW
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 29th, 2017
Last updated Jun 16th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285155366 NPPES
Washington MEDICAID 200458

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