SKOKOMISH TRIBAL COUNCIL (NPI# 1316056096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316056096 |
| Entity Type | Organization |
| Organization Name | SKOKOMISH TRIBAL COUNCIL |
| Other Organization Name | SKOKOMISH TRIBE HEALTH CENTER |
| Practice Address |
100 N Tribal Center Rd Skokomish Nation WA 98584-9748 |
| Practice Telephone | 3604265755 |
| Practice Fax Number | 3608772032 |
| Mailing Telephone | 3604265755 |
| Mailing Fax Number | 3608772032 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2012-02-08 |
| Authorized Official Name | MS. FRANCES L LONGSHORE (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 3604265755 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| N | 124Q00000X | Dental Hygienist | Dental Providers | ||
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| N | 174H00000X | Health Educator | Other Service Providers | ||
| N | 176B00000X | Midwife | Other Service Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1007457 | 05 | |
| WA | 1042775 | 05 | |
| WA | 7048267 | 05 | |
| WA | 7133473 | 05 | |
| WA | 1991512 | 05 | |
| WA | 1044601 | 05 | |
| WA | 2031961 | 05 | |
| WA | 5400072 | 05 | |
| WA | 7057508 | 05 | |
| WA | 1980796 | 05 | |
| WA | 1981067 | 05 | |
| WA | 2000539 | 05 | |
| WA | 5021258 | 05 |
| Other Name | Type Code |
|---|---|
| Skokomish Tribe Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396056461 | Skokomish Tribal Council | Counselor | 561 N Tribal Center Rd, Skokomish Nation, WA 98584-7416 | 2010-06-23 |
| 1457506081 | Skokomish Tribal Council | Dental Hygienist | 100 N Tribal Center Rd, Skokomish Nation, WA 98584-9748 | 2008-11-24 |
| Street Address |
100 N TRIBAL CENTER RD |
| City | SKOKOMISH NATION |
| State | WA |
| Zip Code | 98584-9748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003923350 | Virginia M Lujan | Dentist | 100 N Tribal Center Rd, Skokomish Nation, WA 98584-9748 | 2006-08-24 |
| 1003456914 | Amber Hanson | Peer Specialist | 100 N Tribal Center Rd, Skokomish Nation, WA 98584-9748 | 2020-01-08 |
| 1871152843 | Courtney Lynn Butler | Counselor | 100 N Tribal Center Rd, Skokomish Nation, WA 98584-9748 | 2019-06-12 |
| 1962860346 | Melanie Clauson | Nurse Practitioner | 100 N Tribal Center Rd, Skokomish Nation, WA 98584-9748 | 2016-02-01 |
| 1700263555 | Charlene Pruitt | Registered Nurse | 100 N Tribal Center Rd, Skokomish Nation, WA 98584-9748 | 2015-04-30 |
| 1558655886 | Brandon Ladoux | Dentist | 100 N Tribal Center Rd, Skokomish Nation, WA 98584-9748 | 2011-06-03 |
| 1457506081 | Skokomish Tribal Council | Dental Hygienist | 100 N Tribal Center Rd, Skokomish Nation, WA 98584-9748 | 2008-11-24 |
| 1245481704 | William Henry Schumacher | Family Medicine | 100 N Tribal Center Rd, Skokomish Nation, WA 98584-9748 | 2008-10-02 |
| 1316063878 | Robert E Woodall | Physician Assistant | 100 N Tribal Center Rd, Skokomish Nation, WA 98584-9748 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627478 | Ashley Maria Elena Armstrong | Counselor | 307 W Cota St Shelton, Shelton, WA 98584 | 2020-07-30 |
| 1962011015 | Perry Philemon Little IIi | Dentist | 503 N 4th St, Shelton, WA 98584 | 2020-07-24 |
| 1588215271 | Rebecca Lynn Adams | Counselor | 601 West Franklin St, Shelton, WA 98584 | 2019-09-24 |
| 1366939670 | Robbie Chandler | Social Worker | 807 West Pine, Shelton, WA 98584 | 2018-04-23 |
| 1831603075 | Fir Lane Health-shelton,llc | Skilled Nursing Facility | 2430 North 13th St, Shelton, WA 98584 | 2017-11-27 |
| 1306361738 | Christine Lee Woods | Counselor | 58150 E. 66th Road, Miami, OK 98584 | 2017-08-07 |
| 1174063051 | Claudette V. Selkridge | Counselor | 1620 N. Olympic Hwy, Shelton, WA 98584 | 2017-02-27 |
| 1003278755 | Edward Charles Herman | Social Worker | 50 Se Bluff Loop Rd., Shelton, WA 98584 | 2016-03-22 |
| 1023497310 | Darren Cuevas | Family Medicine | 939 Mountain View Dr Ste 100, Shelton, WA 98584 | 2015-05-20 |
| 1639572977 | Thomas Vincent Phung Duffy | Dentist | 717 W. Railroad Ave., Shelton, WA 98584 | 2014-10-01 |
| Find all providers in zip 98584 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245481704 | William Henry Schumacher | Family Medicine | 100 N Tribal Center Rd, Skokomish Nation, WA 98584-9748 | 2008-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010957 | Olympic Medical Pllc | Family Medicine | 6342 Littlerock Rd Sw Bldg 3, Tumwater, WA 98512-7332 | 2020-10-13 |
| 1124631296 | Direct Care Clinics Us PC | Family Medicine | 2307 Se 3rd Circle, Suite 203, Vancouver, WA 98661-9860 | 2020-08-28 |
| 1851902605 | Northwest Clinical Services | Family Medicine | 825 Se Bishop Blvd Ste 301c, Pullman, WA 99163-5517 | 2020-08-14 |
| 1003424128 | Kelly P Grenner | Family Medicine | 15424 Ne 160th St, Woodinville, WA 98072-8180 | 2020-07-14 |
| 1851919476 | Thuthi Enterprises, LLC | Family Medicine | 715 N Park Ctr # A, Selah, WA 98942-1174 | 2020-07-09 |
| 1851917074 | Kaiser Foundation Health Plan of Washington | Family Medicine | 5216 Point Fosdick Dr # 102, Gig Harbor, WA 98335-0037 | 2020-06-23 |
| 1245856830 | Jackie C Toh | Family Medicine | 13684 18th Ave Sw, Burien, WA 98166-1047 | 2020-06-19 |
| 1669097127 | Dawnmd LLC | Family Medicine | 540 E Main St Ste A, Pullman, WA 99163-2660 | 2020-06-10 |
| 1427672310 | Andrea Lauren Cistulli | Family Medicine | 3619 Talbot Rd S Ste 401, Renton, WA 98055-5708 | 2020-06-05 |
| 1114540457 | Country Doctor Community Clinic | Family Medicine | 2410 E Cherry St, Seattle, WA 98122-4832 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
| City | SKOKOMISH NATION |
| Zip Code | 98584 |
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| 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.