Provider Demographics
NPI:1356146443
Name:SOUTHWEST WASHINGTON REGIONAL HEALTH ALLIANCE
Entity type:Organization
Organization Name:SOUTHWEST WASHINGTON REGIONAL HEALTH ALLIANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTHCONNECT HUB DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-972-6894
Mailing Address - Street 1:311 W 11TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98660-3145
Mailing Address - Country:US
Mailing Address - Phone:360-828-7319
Mailing Address - Fax:
Practice Address - Street 1:311 W 11TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660-3145
Practice Address - Country:US
Practice Address - Phone:360-828-7319
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management