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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
Address | Telephone Number | Fax Number |
---|---|---|
1 Cowlitz Way, Ridgefield, WA 986425487 | 3605758275 | 3603539440 |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | COWLITZ INDIAN TRIBE | 1055 9th Ave Ste B, Longview, WA 98632-2661 |
Street Address |
107 SPENCER RD |
City | TOLEDO |
State | WA |
Zip Code | 98591 |
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 |
Find all providers in zip 98591 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
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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 |
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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 |
Find all providers with the same taxonomy |
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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.