Provider Demographics
NPI:1952516643
Name:WHATCOM CENTER FOR EARLY LEARNING
Entity Type:Organization
Organization Name:WHATCOM CENTER FOR EARLY LEARNING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:J
Authorized Official - Last Name:BERNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-671-3660
Mailing Address - Street 1:2001 H ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-3226
Mailing Address - Country:US
Mailing Address - Phone:360-671-3660
Mailing Address - Fax:360-650-9411
Practice Address - Street 1:2001 H ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-3226
Practice Address - Country:US
Practice Address - Phone:360-671-3660
Practice Address - Fax:360-650-9411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7680820Medicaid
WA7061781Medicaid