COWLITZ INDIAN TRIBE – NPI #1861722258
Clinic/Center

COWLITZ INDIAN TRIBE is an AHC clinic located in TOLEDO, WA. NPPES has assigned the NPI number 1861722258 to COWLITZ INDIAN TRIBE on January 06, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QH0100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Health Service

The NPI profile was previously updated about 8 years ago on Jul 16, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COWLITZ INDIAN TRIBE below.

NPI Profile for
COWLITZ INDIAN TRIBE

NPI Number
1861722258
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COWLITZ INDIAN TRIBE
Primary location
107 SPENCER RD
TOLEDO, WA 98591
Phone: (360) 353-9431 Fax: (360) 353-9440
1 Other location(s):
1 Cowlitz Way
Ridgefield, WA 98642-5487
Phone: (360) 575-8275
Fax: (360) 353-9440
Mailing address
PO BOX 2429
LONGVIEW, WA 98632-8486
Phone: (360) 353-9431 Fax: (360) 353-9440
Organization Subpart
Yes - COWLITZ INDIAN TRIBE is subpart of another organization.
Authorized Official
SHAVON KELLER
BILLING SUPERVISOR
Phone: (360) 353-9431
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QH0100X
- Clinic/Center / Health Service (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.