Provider Demographics
NPI:1164053062
Name:UPPER VALLEY CARES
Entity Type:Organization
Organization Name:UPPER VALLEY CARES
Other - Org Name:UVCARES
Other - Org Type:Other Name
Authorized Official - Title/Position:BOARD PRESIDENT & EXEC. DIRECTOR
Authorized Official - Prefix:PROF
Authorized Official - First Name:REBEKAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SUBIDO
Authorized Official - Suffix:
Authorized Official - Credentials:EMBA
Authorized Official - Phone:509-300-1113
Mailing Address - Street 1:11779 HIGHWAY 2, SUITE 107
Mailing Address - Street 2:
Mailing Address - City:LEAVENWORTH
Mailing Address - State:WA
Mailing Address - Zip Code:98826
Mailing Address - Country:US
Mailing Address - Phone:509-300-1113
Mailing Address - Fax:509-300-1115
Practice Address - Street 1:225 PROSPECT STREET
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:WA
Practice Address - Zip Code:98826
Practice Address - Country:US
Practice Address - Phone:509-300-1113
Practice Address - Fax:509-300-1115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-29
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder