Squaxin Island Tribe

LBN: Squaxin Island Chemical Dependency Encounter
Squaxin Island Tribe is an health care organization with primary practice located at 90 Se Klah Che Min Dr , Shelton WA 98584-9216. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Squaxin Island Chemical Dependency Encounter can be contacted via phone (360) 427-9006, or through Jones, Whitney via phone (360) 427-9006.

Contact Information

Primary practice address
90 Se Klah Che Min Dr Shelton WA 98584-9216
Phone: (360) 427-9006
Fax: (360) 427-1951
Website:
Map and Directions
Authorized official contact:
Name: Jones, Whitney
Phone: (360) 427-9006

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X Washington

Profile Details

NPI number 1912112244
LBN Legal business name Squaxin Island Chemical Dependency Encounter
DBA Doing business as Squaxin Island Tribe
Authorized official Jones, Whitney
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1912112244 NPPES
Washington MEDICAID 1990696

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