Provider Demographics
NPI:1184831182
Name:PARENT TRUST FOR WASHINGTON CHILDREN
Entity Type:Organization
Organization Name:PARENT TRUST FOR WASHINGTON CHILDREN
Other - Org Name:CHILDBIRTH EDUCATION ASSOCIATION OF SEATTLE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:
Authorized Official - Last Name:EDGERTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-233-0156
Mailing Address - Street 1:1601 2ND AVE
Mailing Address - Street 2:SUITE 410
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-3517
Mailing Address - Country:US
Mailing Address - Phone:206-233-0156
Mailing Address - Fax:206-233-0604
Practice Address - Street 1:1601 2ND AVE
Practice Address - Street 2:SUITE 410
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-3517
Practice Address - Country:US
Practice Address - Phone:206-233-0156
Practice Address - Fax:206-233-0604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7403454Medicaid