Siletz Community Health Clinic Pharmacy

LBN: Confederated Tribes Of Siletz
Siletz Community Health Clinic Pharmacy is an health care organization with primary practice located at 200 Gwee-Shut Road , Siletz OR 97380. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Clinic Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy is the primary health care specialty. Confederated Tribes Of Siletz can be contacted via phone (541) 444-1030, or through Williams, Miranda via phone (541) 444-1030.

Contact Information

Primary practice address
200 Gwee-Shut Road Siletz OR 97380
Phone: (541) 444-1030
Fax: (541) 444-9695
Website:
Map and Directions
Authorized official contact:
Name: Williams, Miranda
Phone: (541) 444-1030

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X RP-0002621-CS Oregon
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X RP-0002621-CS Oregon
Suppliers / Clinic Pharmacy 3336C0002X RP-0002621-CS Oregon
Suppliers / Mail Order Pharmacy 3336M0002X RP-0002621-CS Oregon

Profile Details

NPI number 1891822003
LBN Legal business name Confederated Tribes Of Siletz
DBA Doing business as Siletz Community Health Clinic Pharmacy
Authorized official Williams, Miranda
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
Last updated Sep 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891822003 NPPES
Oregon MEDICAID 051966

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