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STILLAGUAMISH TRIBAL HEALTH CLINIC NPI 1164451142


NPI Information

NPI: 1164451142
Provider Name: STILLAGUAMISH TRIBAL HEALTH CLINIC
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
902 E MAPLE ST
ARLINGTON, WA
ZIP 98223
Phone: (360) 435-9338
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STILLAGUAMISH TRIBAL HEALTH CLINIC is a community health clinic center in Arlington, WA. STILLAGUAMISH TRIBAL HEALTH CLINIC NPI is 1164451142. The provider is registered as an organization entity type.

The provider's business location address is:

902 E MAPLE ST
ARLINGTON, WA
ZIP 98223-634
Phone: (360) 435-9338
Fax: (360) 435-2266

The provider's authorized official is Ed Reser .
The authorized official title is Wellness Supervisor and has the following contact phone number (360) 435-9338.

The enumeration date for this NPI number is 7/1/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QC1500XClinic/CenterCommunity HealthAP30001255WASHINGTONYes
2261QP2300XClinic/CenterPrimary CareAP30001255WASHINGTONX

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
1MT0116093OTHERWASHINGTONDEA NUMBER
29600198MEDICAIDWASHINGTON

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.