SIDEWALK NPI 1629638861

Case Management in Olympia, WA

NPI 1629638861 Organization Case Management

About SIDEWALK

Sidewalk is a provider established in Olympia, Washington specializing in case management. The NPI number of Sidewalk is 1629638861 and was assigned on June 2019. The practitioner's primary taxonomy code is 251B00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Philip Owen (Executive Director)

NPI

1629638861

Provider NameSIDEWALK
Provider Location Address225 STATE AVE NE OLYMPIA, WA 98501
Provider Mailing Address1139 5TH AVE SE OLYMPIA, WA 98501
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date06-19-2019
Last Update Date06-19-2019


Primary Taxonomy

Taxonomy Code251B00000X
ClassificationCase Management
TypeAgencies
Taxonomy DescriptionAn organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

Business Address

SIDEWALK
225 STATE AVE NE
OLYMPIA, WA
ZIP 98501
Phone: (360) 515-5587

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Mailing Address

SIDEWALK
1139 5TH AVE SE
OLYMPIA, WA
ZIP 98501
Phone: (360) 915-7306



Authorized Official

Authorized Official Name PHILIP OWEN
Authorized Official TitleEXECUTIVE DIRECTOR
Authorized Official Phone(360) 915-7306

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023550050PROVIDENCE HEALTH & SERVICES WASHINGTON
Organization
Counselor (Mental Health)225 STATE AVE NE
OLYMPIA, WA 98501
(360) 486-6400
1205309937LEWIS COUNTY COMMUNITY HEALTH SERVICES
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))225 STATE AVE NE
OLYMPIA, WA 98501
(360) 236-7166
1578039749 MELISSA JO GALLARDO NP
Individual
Nurse Practitioner (Psychiatric/Mental Health)225 STATE AVE NE
OLYMPIA, WA 98501
(360) 486-6400

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.