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Great Rivers Behavioral Health Administrative Services Org

Community/Behavioral Health Agency in Centralia, WA · enumerated 2019 · authorized official Trinidad Medina, Chief Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043861743

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Registry record

Entity type Organization (Type 2)
Legal business name Great Rivers Behavioral Health Administrative Services Org
Practice address 1723 Kresky Ave, Centralia, WA, 98531
Phone (800) 215-4460
Fax (855) 936-1291
Enumeration date Sep 24, 2019
Last updated in NPPES Mar 20, 2025

Taxonomy & classification

251S00000X Community/Behavioral Health Agency Agencies Primary

Authorized official

Name Trinidad Medina
Title Chief Executive Director
Phone (253) 336-3237

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-03-20. Verify at npiregistry.cms.hhs.gov.
Where is Great Rivers Behavioral Health Administrative Services Org located?
The practice location on file with NPPES is in Centralia, WA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-03-20.