CONFEDERATED TRIBES OF THE CHEHALIS RESERVATION


Address: 21 Niederman Rd, Oakville, WA 98568-8904
Phone: 3602735504

CONFEDERATED TRIBES OF THE CHEHALIS RESERVATION (NPI# 1881142214) 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) 1881142214
Entity Type Organization
Organization Name CONFEDERATED TRIBES OF THE CHEHALIS RESERVATION
Other Organization Name CHEHALIS TRIBAL WELLNESS CENTER
Practice Address 21 Niederman Rd
Oakville
WA 98568-8904
Mailing Address Po Box 570
Oakville
WA 98568-0570
Practice Telephone 3602735504
Practice Fax Number 3602736230
Mailing Telephone 3602735504
Enumeration Date 2016-09-14
Last Update Date 2017-04-20
Authorized Official Name DENISE WALKER (HEALTH DIRECTOR)
Authorized Official Telephone 3607091772
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 Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2165792 01

Other Provider/Organization Names

Other Name Type Code
Chehalis Tribal Wellness Center Doing Business As Name - Organization

Office Location

Street Address 21 NIEDERMAN RD
City OAKVILLE
State WA
Zip Code 98568-8904

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316060189 The Chehalis Tribal Health & Wellness Center Clinic/Center 21 Niederman Rd, Oakville, WA 98568 2007-04-09
1689899296 The Chehalis Tribal Health & Wellness Center Clinic/Center 21 Niederman Rd, Oakville, WA 98568 2007-04-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144859232 Shana Lee Johnny Registered Nurse 6501 Sr 12, Oakville, WA 98568 2020-04-02
1851764310 Panoptic Speech Therapy Services, Pllc Speech-Language Pathologist 214 E. Pine Street, Oakville, WA 98568 2015-11-05
1164867396 Trina Marie Hamilton Massage Therapist 214 E Pine St, Oakville, WA 98568 2013-05-01
1376879700 Tammy E Vessey Counselor 420 Howanut Road, Oakville, WA 98568 2009-10-20
1346383379 Confederated Tribes of Chehalis Reservation Clinic/Center 21 Niederman Road, Oakville, WA 98568 2007-02-15
1609936814 Lisa Lea Stephens Speech-Language Pathologist 214 E Pine Street, Oakville, WA 98568 2006-12-11
1417047143 Oakville School District #400 Local Education Agency (LEA) 103 School Street, Oakville, WA 98568 2006-10-13
1023246436 Sabrina Jennifer Ash Counselor 420 Howanut Rd, Oakville, WA 98568 2009-06-24
1922246883 Patricia Louise Odiorne Dietitian, Registered 21 Niederman Road, Oakville, WA 98568 2009-01-30
1710148606 The Chehalis Tribal Health Center Counselor 420 Howanut Rd, Oakville, WA 98568 2008-06-23
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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
1427171628 Roger Saux Health Center Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 1505 Klaookwa Drive, Taholah, WA 98587 2007-04-10
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
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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Competitor

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City OAKVILLE
Zip Code 98568

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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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