Provider Demographics
NPI:1972089977
Name:FIELD TRANSITIONAL SERVICES
Entity type:Organization
Organization Name:FIELD TRANSITIONAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EX DIRECTOR/CASE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:FIELD
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:509-301-8120
Mailing Address - Street 1:582 ASH ST
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-1500
Mailing Address - Country:US
Mailing Address - Phone:509-301-8120
Mailing Address - Fax:
Practice Address - Street 1:582 ASH ST
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-1500
Practice Address - Country:US
Practice Address - Phone:509-301-8120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-13
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management