Stillaguamish Tribal Health Clinic
LBN: Stillaguamish Tribal Health Clinic
Stillaguamish Tribal Health Clinic is an health care organization with primary practice located at 24205 James Dorsey Way Ste 1 , Arlington WA 98223-6029. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty.
Stillaguamish Tribal Health Clinic can be contacted via phone (360) 435-9338, or through Hancock, Dannielle Marie via phone (360) 631-5971.
Contact Information
Primary practice address
24205 James Dorsey Way Ste 1
Arlington WA 98223-6029
Phone: (360) 435-9338
Fax: (360) 435-2266
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ||
| Ambulatory Health Care Facilities / Community Health | 261QC1500X | AP30001255 | Washington |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | AP30001255 | Washington |
Profile Details
| NPI number | 1164451142 |
|---|---|
| LBN Legal business name | Stillaguamish Tribal Health Clinic |
| DBA Doing business as | |
| Authorized official | Hancock, Dannielle Marie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 1st, 2006 |
| Last updated | Aug 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164451142 | NPPES |
| Washington | MEDICAID | 8456352 | |
| Washington | MEDICAID | 9600198 | |
| Washington | MEDICAID | 2093558 |
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