STILLAGUAMISH TRIBE OF INDIANS NPI 1225076730

NPI Information

NPI: 1225076730
Provider Name: STILLAGUAMISH TRIBE OF INDIANS
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

CLIA Number: 50D2190857

Address:
4126 172ND ST NE
ARLINGTON, WA
ZIP 98223
Phone: (360) 653-1104
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STILLAGUAMISH TRIBE OF INDIANS is an adult mental health clinic center in Arlington, WA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. STILLAGUAMISH TRIBE OF INDIANS NPI is 1225076730. The provider is registered as an organization entity type.

The provider's business location address is:

4126 172ND ST NE
ARLINGTON, WA
ZIP 98223-384
Phone: (360) 653-1104
Fax: (360) 657-2884

The provider's authorized official is Thomas E. Ashley .
The authorized official title is Director, Social & Health Services and has the following contact phone number (360) 653-1104.

The CLIA number assigned to this NPI record is 50D2190857 - other - other practionier - arnp with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/4/2006 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health		WASHINGTON	Yes
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health		WASHINGTON	X
3	261QM2800X	Clinic/Center	Methadone	31113900	WASHINGTON	X

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: 5/5/2024

NPI Synchronization or Removal

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