| Squaxin Island Health Clinic | |
|
90 Se Klah Che Min Dr Shelton WA 98584-9216 | |
| (360) 427-9006 | |
| (360) 427-1951 |
| Full Name | Squaxin Island Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 90 Se Klah Che Min Dr, Shelton, Washington |
| Authorized Official Name and Position | Edward J. Fox (DIRECTOR HHS) |
| Authorized Official Contact | 3604279006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Squaxin Island Health Clinic 90 Se Klah Che Min Dr Shelton WA 98584-9216 Ph: (360) 427-9006 | Squaxin Island Health Clinic 90 Se Klah Che Min Dr Shelton WA 98584-9216 Ph: (360) 427-9006 |
| NPI Number | 1669532578 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 06/17/2008 |
| Medicare PECOS PAC ID | 2860383122 |
|---|---|
| Medicare Enrollment ID | O20040324000796 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669532578 | NPI | - | NPPES |
| 7003767 | Medicaid | WA | |
| 1980994 | Medicaid | WA | |
| 7047772 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Washington) | Primary |
| Provider Name | Carl Ott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982613709 PECOS PAC ID: 2567355027 Enrollment ID: I20050505000474 |
| Provider Name | Angela L Tobias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588775811 PECOS PAC ID: 1850396169 Enrollment ID: I20080404000193 |
| Provider Name | Kyle E Ferguson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164739058 PECOS PAC ID: 7911179239 Enrollment ID: I20111011000242 |
| Provider Name | Jonathan Corbin Wilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316329980 PECOS PAC ID: 5698032431 Enrollment ID: I20220321001000 |
| Provider Name | Rachel Helena Armas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326207044 PECOS PAC ID: 4587050588 Enrollment ID: I20220330002646 |
Mason Health-mason Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 N 13th St, Shelton, WA 98584 Phone: 360-426-2653 | |
Squaxin Island Tribe Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Se Klah Che Min Dr, Shelton, WA 98584 Phone: 360-427-9006 | |
Mgh Family Health, Ankle And Foot Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1812 N 13th Loop Rd, Shelton, WA 98584 Phone: 360-426-3862 | |
Olympic Physicians, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 Professional Way, Shelton, WA 98584 Phone: 360-426-2500 Fax: 360-462-2500 | |
Mgh Family Health Ankle & Foot Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1812 N 13th Loop Rd, Shelton, WA 98584 Phone: 360-426-3862 | |
Mason General Hospital Olympic Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 237 Professional Way, Shelton, WA 98584 Phone: 360-426-2500 | |
Northwest Indian Treatment Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Se Whitener Rd, Shelton, WA 98584 Phone: 360-470-1474 |