Unknown Individual – Community/Behavioral Health Agency, NPI 1417585472

Unknown Individual is a healthcare provider. based in Kennewick, Washington. specializing in Community/Behavioral Health Agency. The NPI Number for Unknown Individual is 1417585472

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1417585472
Phone
(509) 524-9903
Address
8514 W GAGE BLVD STE G
Deactivation Date
2 April 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience10
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 8514 W GAGE BLVD STE G

    KENNEWICK, WA 993368108

    Phone: (509) 524-9903

    Fax: (888) 745-2096

    Type: Mailing

  • 5615 DUNBARTON AVE

    PASCO, WA 993018216

    Phone: (509) 570-9302

    Fax: (509) 491-3031

    Type: Mailing

  • 1601 2ND AVE N STE 300W

    GREAT FALLS, MT 594013243

    Phone: (509) 524-9903

    Fax: (888) 745-2096

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99336)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1417585472 on file in the registry.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Community/Behavioral Health Agency in the directory — Clinical services aligned with this taxonomy classification.
Where in Washington is Unknown Individual registered?
Use Kennewick, Washington as the headline location for Unknown Individual here.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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