Provider Demographics
NPI:1720349459
Name:WHATCOM ALLIANCE FOR HEALTHCARE ACCESS
Entity Type:Organization
Organization Name:WHATCOM ALLIANCE FOR HEALTHCARE ACCESS
Other - Org Name:WHATCOM ALLIANCE FOR HEALTH ADVANCEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-788-6537
Mailing Address - Street 1:800 E CHESTNUT ST
Mailing Address - Street 2:LL STE. 2
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-5241
Mailing Address - Country:US
Mailing Address - Phone:360-788-6531
Mailing Address - Fax:360-788-6587
Practice Address - Street 1:800 E CHESTNUT ST
Practice Address - Street 2:LL STE. 2
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-5241
Practice Address - Country:US
Practice Address - Phone:360-788-6531
Practice Address - Fax:360-788-6587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-29
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251V00000XAgenciesVoluntary or Charitable