UPPER SKAGIT INDIAN TRIBE NPI 1336129295

NPI Information

NPI: 1336129295
Provider Name: UPPER SKAGIT INDIAN TRIBE

Other Name: UPPER SKAGIT TRIBAL CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
25959 COMMUNITY PLAZA WAY
SEDRO WOOLLEY, WA
ZIP 98284
Phone: (360) 854-7070
Get Directions

UPPER SKAGIT INDIAN TRIBE is a federally qualified health center (fqhc) clinic center in Sedro Woolley, WA. UPPER SKAGIT INDIAN TRIBE NPI is 1336129295. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Upper Skagit Tribal Clinic.

The provider's business location address is:

25959 COMMUNITY PLAZA WAY
SEDRO WOOLLEY, WA
ZIP 98284-721
Phone: (360) 854-7070
Fax: (360) 854-7060

The provider's authorized official is Marilyn M Scott .
The authorized official title is Tribal Vice-chairman and has the following contact phone number (360) 854-7039.

The enumeration date for this NPI number is 1/18/2006 and was last updated on 7/23/2019.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CP00001654	WASHINGTON	No
2	103TC1900X	Psychologist	Counseling	;H00008445	WASHINGTON	No
3	104100000X	Social Worker		RC00047287	WASHINGTON	No
4	133V00000X	Dietitian, Registered		DI00001414	WASHINGTON	No
5	133V00000X	Dietitian, Registered		LP00022558	WASHINGTON	No
6	208600000X	Surgery		MD00012663	WASHINGTON	No
7	208D00000X	General Practice		MD00012663	WASHINGTON	No
8	363LF0000X	Nurse Practitioner	Family	AP30006120	WASHINGTON	No
9	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		WASHINGTON	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
1	7203805	MEDICAID	WASHINGTON
2	8466286	MEDICAID	WASHINGTON
3	1981323	MEDICAID	WASHINGTON
4	9645573	MEDICAID	WASHINGTON
5	1008805	MEDICAID	WASHINGTON
6	1995281	MEDICAID	WASHINGTON
7	7084338	MEDICAID	WASHINGTON
8	8024291	MEDICAID	WASHINGTON

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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