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CONFEDERATED TRIBES OF SILETZ NPI 1891822003


NPI Information

NPI: 1891822003
Provider Name: CONFEDERATED TRIBES OF SILETZ

Doing Business As: SILETZ COMMUNITY HEALTH CLINIC PHARMACY

Classification: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy - 332800000X
Entity Type: Organization
Address:
200 GWEE-SHUT ROAD
SILETZ, OR
ZIP 97380
Phone: (541) 444-1030
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CONFEDERATED TRIBES OF SILETZ is an indian health service tribal urban indian health i t u pharmacy in Siletz, OR. The provider is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. CONFEDERATED TRIBES OF SILETZ NPI is 1891822003. The provider is registered as an organization entity type.
The provider Is Doing Business As Siletz Community Health Clinic Pharmacy.

The provider's business location address is:

200 GWEE-SHUT ROAD
SILETZ, OR
ZIP 97380
Phone: (541) 444-1030
Fax: (541) 444-9695

The provider's authorized official is Miranda Williams .
The authorized official title is Health Director and has the following contact phone number (541) 444-1030.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 9/21/2022.


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
1332B00000XDurable Medical Equipment & Medical SuppliesRP-0002621-CSOREGONNo
23336C0002XPharmacyClinic PharmacyRP-0002621-CSOREGONNo
33336M0002XPharmacyMail Order PharmacyRP-0002621-CSOREGONNo
4332800000XIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyRP-0002621-CSOREGONYes

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 Other Provider Identifier Issuer
1051966MEDICAIDOREGON

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

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.