SQUAXIN ISLAND TRIBE NPI 1669532578

NPI Information

NPI: 1669532578
Provider Name: SQUAXIN ISLAND TRIBE
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Other Name: SQUAXIN ISLAND HEALTH CLINIC
Address: 90 SE KLAH CHE MIN DR
SHELTON, WA
ZIP 98584
Phone: (360) 427-9006

Map and Directions

Get Directions

NPI Details

SQUAXIN ISLAND TRIBE is a clinic center in Shelton, WA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SQUAXIN ISLAND TRIBE NPI is 1669532578. The provider is registered as an organization entity type.
The provider Other Name Is Squaxin Island Health Clinic.

The provider's business location address is:

90 SE KLAH CHE MIN DR
SHELTON, WA
ZIP 98584-216
Phone: (360) 427-9006
Fax: (360) 427-1951

The provider's authorized official is Edward J. Fox .
The authorized official title is Director Hhs and has the following contact phone number (360) 427-9006.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 6/17/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center			WASHINGTON	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	7003767	MEDICAID	WASHINGTON
2	7047772	MEDICAID	WASHINGTON
3	1980994	MEDICAID	WASHINGTON

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: 3/30/2025

NPI Synchronization or Removal

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.

Previous NPI

Next NPI