Shoalwater Bay Tribal Clinic | |
2373 Old Tokeland Rd Tokeland WA 98590 | |
(360) 267-3408 | |
(360) 267-1127 |
Full Name | Shoalwater Bay Tribal Clinic |
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Speciality | Community/behavioral Health |
Location | 2373 Old Tokeland Rd, Tokeland, Washington |
Authorized Official Name and Position | Carol Johnson (TRIBAL ADMISTRATOR) |
Authorized Official Contact | 3602676766 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Shoalwater Bay Tribal Clinic Po Box 500 Tokeland WA 98590-0500 Ph: (360) 267-3408 | Shoalwater Bay Tribal Clinic 2373 Old Tokeland Rd Tokeland WA 98590 Ph: (360) 267-3408 |
NPI Number | 1104038926 |
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Provider Enumeration Date | 05/04/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1104038926 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Shoalwater Bay Tribal Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2373 Old Tokeland Rd, Tokeland, WA 98590 Phone: 360-267-2508 Fax: 360-267-1127 |