COWLITZ INDIAN TRIBE


Address: 107 Spencer Rd, Toledo, WA 98591
Phone: 3603539431

COWLITZ INDIAN TRIBE (NPI# 1861722258) 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) 1861722258
Entity Type Organization
Organization Name COWLITZ INDIAN TRIBE
Practice Address 107 Spencer Rd
Toledo
WA 98591
Mailing Address Po Box 2429
Longview
WA 98632-8486
Practice Telephone 3603539431
Practice Fax Number 3603539440
Mailing Telephone 3603539431
Mailing Fax Number 3603539440
Enumeration Date 2010-01-06
Last Update Date 2018-07-16
Authorized Official Name SHAVON KELLER (BILLING SUPERVISOR)
Authorized Official Telephone 3603539431
Is Organization Subpart Y
Parent Organization Name COWLITZ INDIAN TRIBE

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Provider Secondary Practice Location

Address Telephone Number Fax Number
1 Cowlitz Way, Ridgefield, WA 986425487 3605758275 3603539440

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1164649679 Cowlitz Indian Tribe Clinic/Center 7700 Ne 26th Ave, Vancouver, WA 98665-0672 2007-04-19
1972962165 Cowlitz Indian Tribe Clinic/Center 7700 Ne 26th Ave, Vancouver, WA 98665-0672 2016-02-16
1225382328 Cowlitz Indian Tribe Clinic/Center 15455 65th Ave S, Tukwila, WA 98188 2012-10-29
1538412630 Cowlitz Indian Tribe Clinic/Center 15455 65th Ave S, Tukwila, WA 98188 2012-10-26
1740562909 Cowlitz Indian Tribe Clinic/Center 1044 11th Ave, Longview, WA 98632-2506 2011-09-14
1619194123 Cowlitz Indian Tribe Clinic/Center 922 Fir St, Longview, WA 98632 2007-04-19
1528285038 Cowlitz Indian Tribe Clinic/Center 900 Fir St, Longview, WA 98632 2007-04-19
1346465101 Cowlitz Indian Tribe Clinic/Center 1044 11th Ave, Longview, WA 98632-2506 2007-04-16
1851328447 Cowlitz Indian Tribe Clinic/Center 1044 11th Ave, Longview, WA 98632 2006-06-27

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities COWLITZ INDIAN TRIBE 1055 9th Ave Ste B, Longview, WA 98632-2661

Office Location

Street Address 107 SPENCER RD
City TOLEDO
State WA
Zip Code 98591

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548811276 Linda Kann Technician 385 Howe Rd., Toledo, WA 98591 2019-09-24
1356724017 Lewis County Fire District 2 Ambulance 150 N Second St, Toledo, WA 98591 2015-06-30
1942569637 Lewis County Community Health Services Clinic/Center 117 Ramsey Way, Toledo, WA 98591 2012-05-15
1235417007 Sheryl Diane Spahr Counselor 205 Cowlitz St, Toledo, WA 98591 2011-07-28
1568507697 Roger Michael Johnigk Chiropractor 205 Cowlitz Street, Toledo, WA 98591 2007-02-20
1538274584 Toledo Pharmacy Pharmacy 241 Cowlitz St, Toledo, WA 98591 2006-08-20
1689638553 Interlocal Organization of Lc Rural Ambulance 150 N 2nd St, Toledo, WA 98591 2006-04-17
1629182571 Toledo School District Local Education Agency (LEA) 155 5th St, Toledo, WA 98591 2006-08-18
1811256001 Roger M Johnigk Dc Ps Clinic/Center 205 Cowlitz St, Toledo, WA 98591-0339 2012-05-09
1124460647 Leslie Allison Yoder Registered Nurse 220 S Second St, Toledo, WA 98591-0656 2013-07-25
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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NPI Name Taxonomy Address Enumeration
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1558725523 Toledo Homecare Clinic/Center 4428 Secor Rd Ste S1, Toledo, OH 43623-4264 2016-04-06
1699002303 Skrzynecki Chiropractic Clinic/Center 5201 Monroe St, Suite 8, Toledo, OH 43623-3197 2009-11-17
1124689526 Toledo Clinic Incorporated Clinic/Center 4235 Secor Rd, Toledo, OH 43623-4231 2019-06-26
1740610989 Skrzynecki Chiropractic, LLC Clinic/Center 3829 Woodley Rd, Suite1, Toledo, OH 43606-1171 2013-11-26
1164653937 Collaborative Diabetes Care, LLC Clinic/Center 4235 Secor Rd, Toledo, OH 43623-4231 2009-07-28
1396832523 Anesthesia Services of Parkway, LLC. Clinic/Center 3500 Executive Pkwy, Toledo, OH 43606-1319 2006-10-09

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1417558784 Barono Consulting LLC Clinic/Center 23449 28th Ave S, Des Moines, WA 98198-8724 2020-11-03
1396381653 Meghan Devonport, Lmp Clinic/Center 1417 Nw 54th St Ste 455, Seattle, WA 98107-3564 2019-11-21
1982255626 Pnw Acupuncture and Wellness Pllc Clinic/Center 9559 Sand Point Way Ne, Seattle, WA 98115-2621 2019-09-24
1144877671 Manifest Medicine Pllc Clinic/Center The Healing Art Center, 453 N Beach Rd, Eastsound, WA 98245-8927 2019-08-20
1952962383 A Well Kneaded Massage Clinic/Center 312 E Pioneer, Puyallup, WA 98372-3264 2019-06-26
1174080881 P4 Medicine Institute Clinic/Center 464 12th Ave Fl 400, Seattle, WA 98122-5567 2019-02-28
1740764109 Occupational Health Centers of Washington, P.s. Clinic/Center 3850 S Meridian Ste 3, Puyallup, WA 98373-3701 2018-09-21
1841774809 Occupational Health Centers of Washington, P.s. Clinic/Center 3811 Broadway Ste 3, Everett, WA 98201-5031 2018-09-17
1750865713 Occupational Health Centers of Washington, P.s. Clinic/Center 2602 S 38th St Ste C, Tacoma, WA 98409-7303 2018-09-17
1053895011 Occupational Health Centers of Washington, P.s. Clinic/Center 200 Andover Park E Ste 1, Tukwila, WA 98188-2938 2018-09-17
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Competitor

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City TOLEDO
Zip Code 98591

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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