COORDINATED CARE OF WASHINGTON, INC.
NPI 1174917611
Health Maintenance Organization in Tacoma, WA

Active since March 23, 2015
1145 BROADWAY, TACOMA, WA 98402(877) 644-4613 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Coordinated Care Of Washington, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COORDINATED CARE OF WASHINGTON, INC. (NPI 1174917611) is a healthcare organization registered as a health maintenance organization in Tacoma, Washington and active in the NPI registry since March 2015. The organization lists Kelsey Van Horn, Vice President, Medicaid, as its authorized official.

NPPES Registry Identity

NPI1174917611
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NameCOORDINATED CARE OF WASHINGTON, INC.
Location Address1145 BROADWAYTacoma, WA 98402-3583
Mailing Address1145 BroadwayTacoma, WA 98402-3583 · (877) 644-4613
Organization SubpartNo
Authorized OfficialKelsey Van HornVice President, Medicaid · (253) 442-1486
Enumeration DateMarch 23, 2015
Last NPPES UpdateJune 16, 2025
NPPES CertifiedJune 9, 2025
NPI 1174917611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHealth Maintenance OrganizationManaged Care Organizations
Taxonomy Code302R00000X
License Licensed in WA · 603293815
Definition
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
1145 BROADWAY, Tacoma, WA 98402

Other Identifiers 1

Medicaid2015999WA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coordinated Care Of Washington, Inc.'s NPI number?

The NPI number for Coordinated Care Of Washington, Inc. is 1174917611. It was assigned to this organization in the NPPES registry on March 23, 2015.

Where is Coordinated Care Of Washington, Inc. located?

Coordinated Care Of Washington, Inc. is located at 1145 Broadway, Tacoma, WA 98402. The listed phone number is (877) 644-4613.

What is Coordinated Care Of Washington, Inc.'s specialty?

The primary specialty registered for this NPI is Health Maintenance Organization with taxonomy code 302R00000X.

When was this NPI record last updated?

The NPPES record for Coordinated Care Of Washington, Inc. was last updated on June 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.