Cowlitz Indian Tribal Health Services

LBN: Cowlitz Indian Tribe
Cowlitz Indian Tribal Health Services is an health care organization with primary practice located at 900 Fir St , Longview WA 98632-2544. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine is the primary health care specialty. Cowlitz Indian Tribe can be contacted via phone (360) 353-9422, or through Keller, Shavon via phone (360) 353-9431.

Contact Information

Primary practice address
900 Fir St Longview WA 98632-2544
Phone: (360) 353-9422
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Keller, Shavon
Phone: (360) 353-9431

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X
Ambulatory Health Care Facilities / Health Service 261QH0100X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1619194123
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 Yes
Enumeration date Apr 19th, 2007
Last updated Feb 3rd, 2023 - about last year

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 1619194123 NPPES
Washington MEDICAID 1981224

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