Provider Demographics
NPI:1609241603
Name:THE ARC OF WHATCOM COUNTY
Entity Type:Organization
Organization Name:THE ARC OF WHATCOM COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM ASSISTANT LLA
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:HICKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-734-8396
Mailing Address - Street 1:1111 CORNWALL AVE
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-5039
Mailing Address - Country:US
Mailing Address - Phone:360-734-8396
Mailing Address - Fax:
Practice Address - Street 1:2602 MCLEOD RD
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1368
Practice Address - Country:US
Practice Address - Phone:360-715-0170
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-02
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency