SKOKOMISH TRIBAL COUNCIL (NPI# 1396056461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396056461 |
| Entity Type | Organization |
| Organization Name | SKOKOMISH TRIBAL COUNCIL |
| Other Organization Name | SKOKOMISH DEPARTMENT OF SOCIAL SERVICES |
| Practice Address |
561 N Tribal Center Rd Skokomish Nation WA 98584-7416 |
| Mailing Address |
561 N Tribal Center Road Skokomish Nation WA 98584-9748 |
| Practice Telephone | 3604265755 |
| Practice Fax Number | 3604020082 |
| Mailing Telephone | 3604265755 |
| Mailing Fax Number | 3604020082 |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2010-06-23 |
| Authorized Official Name | FRANCES L LONGSHORE (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 3604265755 |
| Is Organization Subpart | Y |
| Parent Organization Name | SKOKOMISH TRIBAL COUNCIL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1042775 | 05 |
| Other Name | Type Code |
|---|---|
| SKOKOMISH DEPARTMENT OF SOCIAL SERVICES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457506081 | Skokomish Tribal Council | Dental Hygienist | 100 N Tribal Center Rd, Skokomish Nation, WA 98584-9748 | 2008-11-24 |
| 1316056096 | Skokomish Tribal Council | Family Medicine | 100 N Tribal Center Rd, Skokomish Nation, WA 98584-9748 | 2006-08-29 |
| Street Address |
561 N TRIBAL CENTER RD |
| City | SKOKOMISH NATION |
| State | WA |
| Zip Code | 98584-7416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265502751 | James Henry States II | Family Medicine | 561 N Tribal Center Rd, Skokomish Nation, WA 98584-7416 | 2006-11-09 |
| 1154523660 | Jose Carlos Arroyo | Counselor | 561 N Tribal Center Rd, Skokomish Nation, WA 98584-7416 | 2007-06-05 |
| 1952435745 | Alexander Creighton Runnette II | Counselor | 561 N Tribal Center Rd, Skokomish Nation, WA 98584-7416 | 2007-03-15 |
| 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 | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265502751 | James Henry States II | Family Medicine | 561 N Tribal Center Rd, Skokomish Nation, WA 98584-7416 | 2006-11-09 |
| 1316056096 | Skokomish Tribal Council | Family Medicine | 100 N Tribal Center Rd, Skokomish Nation, WA 98584-9748 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487056511 | Tenino Family Practice Pllc | Family Medicine | 273 Sussex Ave E, Tenino, WA 98589-9359 | 2014-09-19 |
| 1659553741 | Dennis Edward Morrisroe | Family Medicine | 100 E 33rd St Ste 206, Hudson's By Medical Group Inc Ps, Vancouver, WA 98663 | 2007-11-29 |
| 1891849485 | Kathleen G. Thomas | Family Medicine | 1400 Pottery Ave, Port Orchard, WA 98366-3711 | 2007-01-22 |
| 1376691824 | Nila Jones | Family Medicine | 7410 Delaware Ln, Vancouver, WA 98664-1408 | 2007-01-08 |
| 1639271489 | Elizabeth Campbell | Family Medicine | 403 E Meeker St, Suite 300, Kent, WA 98030-5904 | 2006-09-02 |
| 1972527141 | Geoffrey Macpherson | Family Medicine | 6920 Coal Creek Pkwy Se, Ste 12, Newcastle, WA 98059-3147 | 2006-07-27 |
| 1871514018 | Kari Palmer | Family Medicine | 509 Olive Way, Suite 900, Seattle, WA 98101-1720 | 2006-07-22 |
| 1265468631 | Margaret Mamolen | Family Medicine | 516 High St, Western Washington University, Bellingham, WA 98225-5946 | 2006-06-25 |
| 1023019858 | Kelvie A Johnson | Family Medicine | 525 Lilly Rd Ne, Olympia, WA 98506-5101 | 2005-08-02 |
| City | SKOKOMISH NATION |
| Zip Code | 98584 |
Please comment or provide details below to improve the information on SKOKOMISH TRIBAL COUNCIL.
| 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.