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SEATTLE INDIAN HEALTH BOARD NPI 1215002365


NPI Information

NPI: 1215002365
Provider Name: SEATTLE INDIAN HEALTH BOARD

Other Name: THUNDERBIRD TREATMENT CENTER

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
9236 RENTON AVE S
SEATTLE, WA
ZIP 98118
Phone: (206) 324-9360
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SEATTLE INDIAN HEALTH BOARD is a substance abuse rehabilitation facility in Seattle, WA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. SEATTLE INDIAN HEALTH BOARD NPI is 1215002365. The provider is registered as an organization entity type.
The provider Other Name Is Thunderbird Treatment Center.

The provider's business location address is:

9236 RENTON AVE S
SEATTLE, WA
ZIP 98118-322
Phone: (206) 324-9360
Fax: (206) 324-8910

The provider's authorized official is Ralph Forquera .
The authorized official title is Executive Director and has the following contact phone number (206) 324-9360.

The enumeration date for this NPI number is 11/22/2006 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
1324500000XSubstance Abuse Rehabilitation Facility0024817002 BLSEATTLEWASHINGTONYes

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
1051276747OTHERWASHINGTONALCOHOL AND SUBSTACE ABUS
2005701OTHERWASHINGTONTARGET

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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