Cowlitz Indian Tribe

LBN: Cowlitz Indian Tribe
Cowlitz Indian Tribe is an health care organization with primary practice located at 107 Spencer Rd , Toledo WA 98591. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Cowlitz Indian Tribe can be contacted via phone (360) 353-9431, or through Keller, Shavon via phone (360) 353-9431.

Contact Information

Primary practice address
107 Spencer Rd Toledo WA 98591
Phone: (360) 353-9431
Fax: (360) 353-9440
Website:
Map and Directions
Authorized official contact:
Name: Keller, Shavon
Phone: (360) 353-9431

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1861722258
LBN Legal business name Cowlitz Indian Tribe
DBA Doing business as
Authorized official Keller, Shavon
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 6th, 2010
Last updated Jul 16th, 2018 - about 7 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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