Provider Type Icon

STILLAGUAMISH TRIBAL HEALTH CLINIC NPI 1164451142


NPI Information

NPI: 1164451142
Provider Name: STILLAGUAMISH TRIBAL HEALTH CLINIC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
24205 JAMES DORSEY WAY STE 1
ARLINGTON, WA
ZIP 98223
Phone: (360) 435-9338
Get Directions

STILLAGUAMISH TRIBAL HEALTH CLINIC is a general practice in Arlington, WA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee STILLAGUAMISH TRIBAL HEALTH CLINIC NPI is 1164451142. The provider is registered as an organization entity type.

The provider's business location address is:

24205 JAMES DORSEY WAY STE 1
ARLINGTON, WA
ZIP 98223-029
Phone: (360) 435-9338
Fax: (360) 435-2266

The provider's authorized official is Dannielle Marie Hancock .
The authorized official title is Account Manager and has the following contact phone number (360) 631-5971.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 8/18/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QC1500XClinic/CenterCommunity HealthAP30001255WASHINGTONNo
2261QP2300XClinic/CenterPrimary CareAP30001255WASHINGTONNo
3208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18456352MEDICAIDWASHINGTON
29600198MEDICAIDWASHINGTON
32093558MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.