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SQUAXIN ISLAND TRIBE NPI 1023226685


NPI Information

NPI: 1023226685
Provider Name: SQUAXIN ISLAND TRIBE

Doing Business As: MENTAL HEALTH SKILLBUILDERS

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
90 SE KLAH CHE MIN DRIVE
SHELTON, WA
ZIP 98584
Phone: (360) 427-9006
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SQUAXIN ISLAND TRIBE is a mental health (including community mental health center) clinic center in Shelton, WA. SQUAXIN ISLAND TRIBE NPI is 1023226685. The provider is registered as an organization entity type.
The provider Is Doing Business As Mental Health Skillbuilders.

The provider's business location address is:

90 SE KLAH CHE MIN DRIVE
SHELTON, WA
ZIP 98584
Phone: (360) 427-9006
Fax: (360) 427-1951

The provider's authorized official is Edward J Fox .
The authorized official title is Hhs Director and has the following contact phone number (360) 427-9006.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 7/25/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)600371470WASHINGTONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11980994MEDICAIDWASHINGTON

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: 11/14/2023

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