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QUINAULT INDIAN NATION NPI 1093888547


NPI Information

NPI: 1093888547
Provider Name: QUINAULT INDIAN NATION

Doing Business As: ROGER SAUX HEALTH CENTER

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 50D0669305

Address:
1505 KLA-OOK-WA DRIVE
TAHOLAH, WA
ZIP 98587
Phone: (360) 276-4405
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QUINAULT INDIAN NATION is a rural health clinic center in Taholah, WA. QUINAULT INDIAN NATION NPI is 1093888547. The provider is registered as an organization entity type.
The provider Is Doing Business As Roger Saux Health Center.

The provider's business location address is:

1505 KLA-OOK-WA DRIVE
TAHOLAH, WA
ZIP 98587
Phone: (360) 276-4405
Fax: (360) 276-4602

The provider's authorized official is Mariah Yvonne Ralston .
The authorized official title is Office Manager and has the following contact phone number (360) 276-4405.

The CLIA number assigned to this NPI record is 50D0669305 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/15/2006 and was last updated on 5/27/2008.


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
1261QR1300XClinic/CenterRural HealthYes

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
17082191MEDICAIDWASHINGTON
2115108800MEDICARE OSCAR/CERTIFICATIONWASHINGTON

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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