| Squaxin Island Tribe | |
|
90 Se Klah Che Min Dr Shelton WA 98584-9216 | |
| (360) 427-9006 | |
| Not Available |
| Full Name | Squaxin Island Tribe |
|---|---|
| Speciality | Clinic/center |
| Location | 90 Se Klah Che Min Dr, Shelton, Washington |
| Authorized Official Name and Position | Whitney Jones (DIRECTOR) |
| Authorized Official Contact | 3604279006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Squaxin Island Tribe 90 Se Klah Che Min Dr Shelton WA 98584-9216 Ph: (360) 427-9006 | Squaxin Island Tribe 90 Se Klah Che Min Dr Shelton WA 98584-9216 Ph: (360) 427-9006 |
| NPI Number | 1114135779 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114135779 | NPI | - | NPPES |
| 7003767 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Washington) | Primary |
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