Provider Demographics
NPI:1902860273
Name:N.E.W. HEALTH PROGRAMS ASSOCIATION
Entity Type:Organization
Organization Name:N.E.W. HEALTH PROGRAMS ASSOCIATION
Other - Org Name:N.E. WASHINGTON HEALTH PROGRAMS-HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:R
Authorized Official - Last Name:HOCHWALT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-935-6001
Mailing Address - Street 1:509 E MAIN AVE
Mailing Address - Street 2:PO BOX 808
Mailing Address - City:CHEWELAH
Mailing Address - State:WA
Mailing Address - Zip Code:99109-8964
Mailing Address - Country:US
Mailing Address - Phone:509-935-6001
Mailing Address - Fax:509-935-4196
Practice Address - Street 1:509 E MAIN AVE
Practice Address - Street 2:
Practice Address - City:CHEWELAH
Practice Address - State:WA
Practice Address - Zip Code:99109-8964
Practice Address - Country:US
Practice Address - Phone:509-935-6001
Practice Address - Fax:509-935-4196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-13
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAJ600318870251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9219205Medicaid
WA57905OtherLABOR & INDUSTRIES ID NUM
WA507044Medicare Oscar/Certification