SWINOMISH INDIAN TRIBAL COMMUNITY


Address: 17400 Reservation Rd, La Conner, WA 98257-8801
Phone: 3604663167

SWINOMISH INDIAN TRIBAL COMMUNITY (NPI# 1164483285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164483285
Entity Type Organization
Organization Name SWINOMISH INDIAN TRIBAL COMMUNITY
Practice Address 17400 Reservation Rd
La Conner
WA 98257-8801
Mailing Address Po Box 683
La Conner
WA 98257-0683
Practice Telephone 3604663167
Practice Fax Number 3604665528
Mailing Telephone 3604663167
Mailing Fax Number 3604665528
Enumeration Date 2006-03-29
Last Update Date 2011-10-05
Authorized Official Name MRS. RHONDA NELSON (CLINICAL APPLICATIONS COORDINATOR)
Authorized Official Telephone 3604663167
Authorized Official Credential D.P.M
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WA 7084320 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1235689381 Swinomish Indian Tribal Community Counselor 17337 Reservation Rd, La Conner, WA 98257-8802 2016-10-12
1376734111 Swinomish Indian Tribal Community Clinic/Center 17400 Reservation Rd, La Conner, WA 98257-8801 2007-08-07

Office Location

Street Address 17400 RESERVATION RD
City LA CONNER
State WA
Zip Code 98257-8801

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962462259 Lisa M Starinchak Nurse Practitioner 17400 Reservation Rd, La Conner, WA 98257-8801 2006-03-23
1316490337 David Michael Johnson Physician Assistant 17400 Reservation Rd, La Conner, WA 98257-8801 2016-07-26
1689826679 Yolanda Grado Quevedo Counselor 17400 Reservation Rd, La Conner, WA 98257-8801 2008-10-21
1376734111 Swinomish Indian Tribal Community Clinic/Center 17400 Reservation Rd, La Conner, WA 98257-8801 2007-08-07
1649461484 Swinomish Health Clinic Clinic/Center 17400 Reservation Rd, La Conner, WA 98257-8801 2007-08-07
1720282445 Sarah Berner Wilborn Physician Assistant 17400 Reservation Rd, La Conner, WA 98257-8801 2007-06-14
1295941920 Swinomish Health Clinic Case Management 17400 Reservation Rd, La Conner, WA 98257-8801 2007-05-16
1205040151 Swinomish Health Clinic Case Management 17400 Reservation Rd, La Conner, WA 98257-8801 2007-05-10
1114080934 Michelle L Skidmore Dietitian, Registered 17400 Reservation Rd, La Conner, WA 98257-8801 2006-12-19
1356419071 Catherine Anne Lewis Nurse Practitioner 17400 Reservation Rd, La Conner, WA 98257-8801 2006-12-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568088144 Rsl La Conner, LLC Assisted Living Facility 204 N. 1st St, La Conner, WA 98257 2020-06-19
1255950572 The Everett Clinic, Pllc Family Medicine 528 Myrtle Street, Laconner, WA 98257 2020-04-16
1205302262 Thanh Nguyen Pharmacist 708 E. Morris St, La Conner, WA 98257 2018-10-17
1023590197 Melissa Danielle Adair Nurse Practitioner 708 Morris Street, Suite B, La Conner, WA 98257 2018-09-05
1013363886 Steven Bruce Gooding Counselor 17400 Reservation Rd., La Conner, WA 98257 2016-05-10
1639550643 Skagit County Fire District 13 Ambulance 17433 Snee-oosh Rd, La Conner, WA 98257 2015-06-16
1679909360 Nina Marie Wawrzyniec Chiropractor 125 Washington Street, Laconner, WA 98257 2013-09-25
1669805180 Reidun E Pederson Registered Nurse 403 State St., La Conner, WA 98257 2013-08-20
1326390527 Susan Jane Erickson Speech-Language Pathologist 305 N. 6th, La Conner, WA 98257 2012-10-11
1528331469 Charles Evert Larsson Family Medicine 528 Myrtle Avenue, La Conner, WA 98257 2012-02-22
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

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).

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407457153 Scandia Wellness Clinic/Center 121 Naylor Rd, Mossyrock, WA 98564-9507 2020-11-07
1699376152 Seattle Vision Therapy and Rehabilitation Center, Pllc Clinic/Center 13344 1st Ave Ne Ste 101, Seattle, WA 98125-3059 2020-11-02
1942811211 Little Fin Therapies, LLC Clinic/Center 5942 31st Ave Sw, Seattle, WA 98126-2910 2020-08-11
1578187829 Therapy Northwest Pllc Clinic/Center 310 3rd Ave Ne Ste 124, Issaquah, WA 98027-3350 2020-06-02
1922621721 Riaz Pllc Clinic/Center 8378 W Grandridge Blvd Ste 110, Kennewick, WA 99336-5401 2020-05-27
1295356848 Community Health Care Clinic/Center 16329 Se 318th St, Auburn, WA 98092-9284 2020-05-05
1720617533 Nova Mind-body LLC Clinic/Center 116 13th Ave E Apt 1e, Seattle, WA 98102-6142 2020-04-03
1609403054 Lavender Luxe Massage Clinic/Center 100 3rd St Ste 100, Davenport, WA 99122-5008 2020-03-25
1417582255 Personalized Health, LLC Clinic/Center 7136 Mlk Jr Way S Ste 204, Seattle, WA 98118-3526 2020-03-11
1912530932 Lummi Indian Business Council Clinic/Center 2924 Haxton Way, Bellingham, WA 98226-9265 2020-02-18
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Competitor

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City LA CONNER
Zip Code 98257

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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