| Nisqually Indian Tribe | |
|
4816 She Nah Num Dr Se Olympia WA 98513-9105 | |
| (360) 459-5312 | |
| (360) 407-0860 |
| Full Name | Nisqually Indian Tribe |
|---|---|
| Speciality | Clinic/Center |
| Location | 4816 She Nah Num Dr Se, Olympia, Washington |
| Authorized Official Name and Position | Larry A Lamebull (TRIBAL ADMINISTRATER) |
| Authorized Official Contact | 3604565221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nisqually Indian Tribe 4816 She Nah Num Dr Se Olympia WA 98513-9105 Ph: (360) 459-5312 | Nisqually Indian Tribe 4816 She Nah Num Dr Se Olympia WA 98513-9105 Ph: (360) 459-5312 |
| NPI Number | 1477745925 |
|---|---|
| Provider Enumeration Date | 08/17/2007 |
| Last Update Date | 02/11/2010 |
| Medicare PECOS PAC ID | 7618966938 |
|---|---|
| Medicare Enrollment ID | O20040511000554 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477745925 | NPI | - | NPPES |
| 7230055 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Washington) | Primary |
| Provider Name | Elizabeth H Siegel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295887461 PECOS PAC ID: 5395796130 Enrollment ID: I20100225000106 |
| Provider Name | Alison J Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215934054 PECOS PAC ID: 6608891965 Enrollment ID: I20120504000071 |
| Provider Name | Betsy A Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679762165 PECOS PAC ID: 7113996687 Enrollment ID: I20180601001190 |
Nisqually Tribe Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4816 She Nah Num Dr Se, Olympia, WA 98513 Phone: 360-459-5312 Fax: 360-407-0860 | |
Olympia Family Medicine, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3622a Ensign Rd Ne, Olympia, WA 98506 Phone: 360-459-7282 | |
Providence St Peter Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-491-9480 | |
Northwest Vision Center, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1510 Cooper Point Rd Sw, Suite 110, Olympia, WA 98502 Phone: 360-489-0493 Fax: 360-943-9424 | |
Lacambra Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7205 Martin Way E, Suite A-69, Olympia, WA 98516 Phone: 206-403-7410 | |
Daniel T. Dugaw,d.o., P.s. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 Black Hills Ln Sw, Suite E, Olympia, WA 98502 Phone: 360-352-8781 Fax: 360-352-8837 | |
Olympia Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7010 Fax: 360-923-7089 |