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COWLITZ INDIAN TRIBE NPI 1225382328


NPI Information

NPI: 1225382328
Provider Name: COWLITZ INDIAN TRIBE

Other Name: COWLITZ TRIBAL HEALTH SERVICES

Classification: Preventive Medicine - 2083P0901X
Entity Type: Organization

Specialization: Public Health & General Preventive Medicine

Address:
15455 65TH AVE S
TUKWILA, WA
ZIP 98188
Phone: (206) 721-5170
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COWLITZ INDIAN TRIBE is a public health and general preventive medicine preventive medicine in Tukwila, WA. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. COWLITZ INDIAN TRIBE NPI is 1225382328. The provider is registered as an organization entity type.
The provider Other Name Is Cowlitz Tribal Health Services.

The provider's business location address is:

15455 65TH AVE S
TUKWILA, WA
ZIP 98188
Phone: (206) 721-5170
Fax: (206) 721-6288

The provider's authorized official is Shavon Keller .
The authorized official title is Billing Supervisor and has the following contact phone number (360) 353-9431.

The enumeration date for this NPI number is 10/29/2012 and was last updated on 2/3/2023.


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
1261Q00000XClinic/CenterNo
2261QH0100XClinic/CenterHealth ServiceNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
42083P0901XPreventive MedicinePublic Health & General Preventive MedicineYes

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.