PUYALLUP TRIBAL HEALTH AUTHORITY – NPI #1255378782
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Health Care Provider Taxonomy Code for Clinic/Center

PUYALLUP TRIBAL HEALTH AUTHORITY is an AHC clinic located in TACOMA, WA. NPPES has assigned the NPI number 1255378782 to PUYALLUP TRIBAL HEALTH AUTHORITY on June 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. PUYALLUP TRIBAL HEALTH AUTHORITY is also known by the name KWAWACHEE COUNSELING CENTER. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0850X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Mental Health

The NPI profile was previously updated about 8 years ago on Jul 13, 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 PUYALLUP TRIBAL HEALTH AUTHORITY below.

NPI Profile for
PUYALLUP TRIBAL HEALTH AUTHORITY

NPI Number
1255378782
Enumeration Date

(more than 20 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
PUYALLUP TRIBAL HEALTH AUTHORITY
Other Name: KWAWACHEE COUNSELING CENTER
Other name(s)
All associated names:
Other Name
KWAWACHEE COUNSELING CENTER
Doing Business As (dba)
PUYALLUP TRIBAL HEALTH AUTHORITY
Primary location
2209 E 32ND ST
TACOMA, WA 98404
Phone: (253) 593-0232 Fax: (253) 382-2091
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHRIS HENRY
EXECUTIVE DIRECTOR
Phone: (253) 593-0232
Updated
Identifiers

Identifiers for PUYALLUP TRIBAL HEALTH AUTHORITY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERGROUP HEALTH OPTIONSWA366486002
MEDICAIDWA1980762
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
261QM0850X
- Clinic/Center / Adult Mental Health (Primary)
261QM0855X
- Clinic/Center / Adolescent and Children Mental Health

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.