ROGER SAUX HEALTH CENTER


Address: 1505 Klaookwa Drive, Taholah, WA 98587
Phone: 3602764405

ROGER SAUX HEALTH CENTER (NPI# 1427171628) 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) 1427171628
Entity Type Organization
Organization Name ROGER SAUX HEALTH CENTER
Other Organization Name QUINAULT INDIAN NATION
Practice Address 1505 Klaookwa Drive
Taholah
WA 98587
Mailing Address 1505 Kla-ook-wah Dr
Taholah
WA 98587
Practice Telephone 3602764405
Practice Fax Number 3602764474
Mailing Telephone 3602764405
Mailing Fax Number 3602764474
Enumeration Date 2007-04-10
Last Update Date 2008-06-06
Authorized Official Name MARIAH YVONNE RALSTON (BILLING MANAGER)
Authorized Official Telephone 3602764405
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy FEDERAL WA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
WA NABP 4924963 01
WA DEA AT5011666 01

Other Provider/Organization Names

Other Name Type Code
QUINAULT INDIAN NATION Other Name - Individual/Organization

Office Location

Street Address 1505 KLAOOKWA DRIVE
City TAHOLAH
State WA
Zip Code 98587

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194985499 Lisa Hall Emergency Medical Technician, Paramedic 1505 Kal-ook-wah Drive, Taholah, WA 98587 2008-06-11
1609997766 Alyson Gale Roby Family Medicine 1505 Kla-ook-wah Dr, Taholah, WA 98587 2007-04-03
1588799571 Hope Errin Edwards Counselor 1505 Kla-ook-wa Way, Taholah, WA 98587 2007-02-22
1093888547 Quinault Indian Nation Clinic/Center 1505 Kla-ook-wa Drive, Taholah, WA 98587 2006-11-15
1538240155 Taholah School District Local Education Agency (LEA) 600 Chitwhin Drive, Taholah, WA 98587 2006-10-18
1225657844 Pavel Mitin Pharmacist 1505 Kla-ook-wa Dr, Taholah, WA 98587 2020-04-14
1932678224 Tricia Dee Bumgarner Massage Therapist 1505 Kla-ook-wa Dr, Taholah, WA 98587 2018-11-16
1548502016 Alex Eugene Fabini Counselor 1505 Kla-ook-wa Drive, Taholah, WA 98587 2013-03-22
1962771782 Ernie V Sanchez Counselor 1505 Kla-ook-wa Drive, Taholah, WA 98587 2011-12-22
1861700080 Gary D Faber Counselor 1505 Kla-ook-wa Drive, Taholah, WA 98587 2010-09-22
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Taxonomy Information

Taxonomy Code 332800000X
Grouping Suppliers
Classification Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

Taxonomy Definition

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.
Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184135808 Alliance Healthcare Technolgies Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 1781 267th Ct Se, Sammamish, WA 98075 2017-10-20
1265556005 Department of Health and Human Services Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 29 Nespelem San Poil Street, Nespelem, WA 99155-0071 2007-03-19
1679607956 Omak Tribal Health Clinic Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 29 Nespelem Sanpoil St, Nespelem, WA 99155-0071 2007-03-16
1750411310 David C Wynecoop Memorial Clinic Pharmacy Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Agency Square, Wellpinit, WA 99040 2007-03-06
1063542645 Colville Indian Health Center Pharmacy Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Agency Campus Hwy 155, Nespelem, WA 99155 2007-03-06
1487105482 Native Project Pharmacy Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 1803 W Maxwell Ave, Spokane, WA 99201-2831 2016-10-14
1881142214 Confederated Tribes of The Chehalis Reservation Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 21 Niederman Rd, Oakville, WA 98568-8904 2016-09-14
1699184366 The Native Project Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 1803 W Maxwell Ave, Spokane, WA 99201-2831 2014-08-07
1952623027 Nisqually Indian Tribe Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 4816 She Nah Num Dr Se, Olympia, WA 98513-9105 2010-02-17
1225241581 Muckleshoot Health and Wellness Center Pharmacy Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 17500 Se 392nd St, Attn Pharmacy, Auburn, WA 98092-9705 2007-05-07
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City TAHOLAH
Zip Code 98587

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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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