Provider Demographics
NPI:1346238482
Name:CHANGEPOINT, INC.
Entity Type:Organization
Organization Name:CHANGEPOINT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-604-0068
Mailing Address - Street 1:10621 NE COXLEY DR
Mailing Address - Street 2:SUITE 106
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-6122
Mailing Address - Country:US
Mailing Address - Phone:360-604-0068
Mailing Address - Fax:360-604-8686
Practice Address - Street 1:10621 NE COXLEY DR
Practice Address - Street 2:SUITE 106
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-6122
Practice Address - Country:US
Practice Address - Phone:360-604-0068
Practice Address - Fax:360-604-8686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-12
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR124201Medicaid
WA1995745Medicaid