NPI 1174917611

Coordinated Care of Washington, INC.

Organisation Health Maintenance Organization Tacoma, WA

Practice location

Address: 1145 Broadway, Tacoma, WA 98402-3583
Phone: (877) 644-4613

Authorised official

Name: Kelsey van Horn
Title: Vice President, Medicaid
Phone: (253) 442-1486

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 603293815 (WA)

Other Health Maintenance Organization providers in Washington →

Registry record

NPI: 1174917611
Entity type: Organization
NPI issued: 23 Mar 2015
Record last updated: 16 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.