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PUYALLUP TRIBAL HEALTH AUTHORITY NPI 1689709172


NPI Information

NPI: 1689709172
Provider Name: PUYALLUP TRIBAL HEALTH AUTHORITY

Doing Business As: PUYALLUP TRIBAL HEALTH AUTHORITY

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 50D0670036

Address:
2209 E 32ND ST
TACOMA, WA
ZIP 98404
Phone: (253) 593-0232
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PUYALLUP TRIBAL HEALTH AUTHORITY is a rehabilitation and substance use disorder clinic center in Tacoma, WA. PUYALLUP TRIBAL HEALTH AUTHORITY NPI is 1689709172. The provider is registered as an organization entity type.
The provider Is Doing Business As Puyallup Tribal Health Authority.

The provider's business location address is:

2209 E 32ND ST
TACOMA, WA
ZIP 98404
Phone: (253) 593-0232
Fax: (253) 382-2091

The provider's authorized official is Chris Henry .
The authorized official title is Executive Director and has the following contact phone number (253) 593-0232.

The CLIA number assigned to this NPI record is 50D0670036 - other with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 7/13/2018.


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
1324500000XSubstance Abuse Rehabilitation FacilityWASHINGTONNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderWASHINGTONYes

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
1366486003OTHERWASHINGTONOPTIONS INPT
2PU6550OTHERWASHINGTONREGENCE
31980762MEDICAIDWASHINGTON
4366486004OTHERWASHINGTONOPTIONS OUTPT
51990456MEDICAIDWASHINGTON

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: 4/28/2024

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