CONFEDERATED TRIBES OF SILETZ NPI 1316040249

NPI Information

NPI: 1316040249
Provider Name: CONFEDERATED TRIBES OF SILETZ

Doing Business As: SILETZ COMMUNITY HEALTH CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
200 GWEE-SHUT RD
SILETZ, OR
ZIP 97380
Phone: (541) 444-1030
Get Directions

CONFEDERATED TRIBES OF SILETZ is a federally qualified health center (fqhc) clinic center in Siletz, OR. CONFEDERATED TRIBES OF SILETZ NPI is 1316040249. The provider is registered as an organization entity type.
The provider Is Doing Business As Siletz Community Health Clinic.

The provider's business location address is:

200 GWEE-SHUT RD
SILETZ, OR
ZIP 97380-036
Phone: (541) 444-1030
Fax: (541) 444-9695

The provider's authorized official is Miranda Williams .
The authorized official title is Health Director and has the following contact phone number (541) 444-1030.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 9/21/2022.

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
1	251B00000X	Case Management				No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	169841	OREGON	Yes

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
1	169841	MEDICAID	OREGON

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

NPI Synchronization or Removal

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