Cowlitz Indian Tribal Health Services
LBN: Cowlitz Indian Tribe
Cowlitz Indian Tribal Health Services is an health care organization with primary practice located at 1044 11Th Ave , Longview WA 98632-2506. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Cowlitz Indian Tribe can be contacted via phone (360) 575-8275, or through Keller, Shavon via phone (360) 353-9431.
Contact Information
Primary practice address
1044 11Th Ave
Longview WA 98632-2506
Phone: (360) 575-8275
Fax: (360) 575-1950
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Health Service | 261QH0100X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1346465101 |
|---|---|
| LBN Legal business name | Cowlitz Indian Tribe |
| DBA Doing business as | Cowlitz Indian Tribal Health Services |
| Authorized official | Keller, Shavon |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 16th, 2007 |
| Last updated | Mar 22nd, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346465101 | NPPES |
| Washington | MEDICAID | 7122898 |
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