MAKAH TRIBE (NPI# 1356371397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356371397 |
| Entity Type | Organization |
| Organization Name | MAKAH TRIBE |
| Other Organization Name | SOPHIE TRETTEVICK INDIAN HEALTH CENTER |
| Practice Address |
250 Fort Street Neah Bay WA 98357 |
| Mailing Address |
Po Box 410 Neah Bay WA 98357-0410 |
| Practice Telephone | 3606452233 |
| Practice Fax Number | 3606452305 |
| Mailing Telephone | 3606452233 |
| Mailing Fax Number | 3606452305 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2018-10-08 |
| Authorized Official Name | KAREN R TYLER (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 3606452628 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7134083 | 05 |
| Other Name | Type Code |
|---|---|
| Sophie Trettevick Indian Health Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Wellness Way, Neah Bay, WA 983570410 | 3606452233 | 3606452305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568777688 | Makah Tribe | Community/Behavioral Health | 201 Resort Dr, Neah Bay, WA 98357-0410 | 2010-08-12 |
| 1609068170 | Makah Tribe | Clinic/Center | 171 Makah Bay Dr, Neah Bay, WA 98357 | 2007-08-17 |
| 1801180849 | Makah Tribe | Ambulance | 141 2nd Ave, Neah Bay, WA 98357 | 2011-06-07 |
| 1427241744 | Makah Tribe | Clinic/Center | 171 Makah Bay Dr, Neah Bay, WA 98357 | 2007-08-21 |
| 1821280785 | Makah Tribe | Clinic/Center | 250 Fort Street, Neah Bay, WA 98357 | 2007-08-15 |
| 1710995279 | Makah Tribe | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 250 Fort Street, Neah Bay, WA 98357 | 2006-08-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MAKAH TRIBE | 201 Resort Dr, Neah Bay, WA 98357 |
| Street Address |
250 FORT STREET |
| City | NEAH BAY |
| State | WA |
| Zip Code | 98357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730171240 | Thomas Michael Vaneaton | General Practice | 250 Fort Street, Neah Bay, WA 98357 | 2005-08-19 |
| 1679029953 | Shannon Walker | Nurse Practitioner | 250 Fort Street, Neah Bay, WA 98357-0410 | 2016-08-28 |
| 1306187497 | Victoria Ann Jimmicum | Pharmacy Technician | 250 Fort Street, Neah Bay, WA 98357 | 2013-03-14 |
| 1215273396 | Thena Westfall | Registered Nurse | 250 Fort Street, Neah Bay, WA 98357-0410 | 2012-12-18 |
| 1265782486 | Glenda Ann Butler | Registered Nurse | 250 Fort Street, Neah Bay, WA 98357 | 2012-09-14 |
| 1043502719 | Amiee Croston | Registered Nurse | 250 Fort Street, Neah Bay, WA 98357 | 2011-05-12 |
| 1215227186 | Carol Ann Johansson | Licensed Practical Nurse | 250 Fort Street, Neah Bay, WA 98357 | 2011-04-13 |
| 1558660118 | Dan S Druge | Emergency Medical Technician, Paramedic | 250 Fort Street, Neah Bay, WA 98357 | 2011-03-22 |
| 1477887222 | Jessica M Latourelle | Pharmacist | 250 Fort Street, Neah Bay, WA 98357 | 2009-09-28 |
| 1285884866 | Adrienne Heinz | Registered Nurse | 250 Fort Street, Neah Bay, WA 98357 | 2008-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942823232 | Christie Heath Woolard | Pharmacist | Sophie Trettevick Indian Health Center, 250 Fort St, Neah Bay, WA 98357 | 2020-05-21 |
| 1750877437 | Sophie Trettevick Indian Health Center | Clinic/Center | 250 Fort St., Neah Bay, WA 98357 | 2018-07-06 |
| 1417321266 | Brook Cherith Conwell | Specialist | 1720 East Nursery Ave, Neah Bay, WA 98357 | 2015-11-17 |
| 1538552070 | William D Pratt Jr. | Nurse Practitioner | 136 Coast Guard Dr, Box 435, Neah Bay, WA 98357 | 2015-03-09 |
| 1194092395 | Todd M. Davidson | Counselor | 1001 Bay View Ave., Neah Bay, WA 98357 | 2011-11-17 |
| 1598994675 | Betty Jean Poffenbarger | Counselor | 111 Resort Dr, Neah Bay, WA 98357 | 2009-07-09 |
| 1609068170 | Makah Tribe | Clinic/Center | 171 Makah Bay Dr, Neah Bay, WA 98357 | 2007-08-17 |
| 1306037767 | Makah Tribal Council | Ambulance | 141 2nd Ave, Neah Bay, WA 98357 | 2007-08-09 |
| 1033319496 | David A Kaikaka | Counselor | 1001 Bayview Avenue, Neah Bay, WA 98357 | 2007-07-23 |
| 1497707715 | David R Cundiff | Family Medicine | 250 Fort St, Neah Bay, WA 98357 | 2006-05-16 |
| Find all providers in zip 98357 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750877437 | Sophie Trettevick Indian Health Center | Clinic/Center | 250 Fort St., Neah Bay, WA 98357 | 2018-07-06 |
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| 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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| 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.