1235689381 NPI number — SWINOMISH INDIAN TRIBAL COMMUNITY

Table of content: (NPI 1235689381)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235689381 NPI number — SWINOMISH INDIAN TRIBAL COMMUNITY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SWINOMISH INDIAN TRIBAL COMMUNITY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235689381
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/12/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
17337 RESERVATION RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LA CONNER
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98257-8802
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-466-1024
Provider Business Mailing Address Fax Number:
360-466-7634

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
17337 RESERVATION RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LA CONNER
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98257-8802
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-466-1024
Provider Business Practice Location Address Fax Number:
360-466-7634
Provider Enumeration Date:
10/12/2016

Additional Information

Authorized Official

Authorized Official Last Name:
MARTIN
Authorized Official First Name:
JENNIFER
Authorized Official Middle Name:
Authorized Official Title or Position:
BILLER
Authorized Official Telephone Number:
360-588-2735

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  CO60166467 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: CP60166467 . This is a "WASHINGTON STATE" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".




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