TULALIP TRIBES HEALTH CLINIC – NPI #1770531501
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

TULALIP TRIBES HEALTH CLINIC is a provider located in TULALIP, WA. NPPES has assigned the NPI number 1770531501 to TULALIP TRIBES HEALTH CLINIC on May 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “TULALIP TRIBES HEALTH CLINIC” is a dba name, the actual legal business name for this organization is TULALIP TRIBES OF WASHINGTON. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 2 years ago on Apr 30, 2024. 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 TULALIP TRIBES HEALTH CLINIC below.

NPI Profile for
TULALIP TRIBES OF WASHINGTON

NPI Number
1770531501
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
TULALIP TRIBES OF WASHINGTON
Doing Business As (dba): TULALIP TRIBES HEALTH CLINIC
Primary location
7520 TOTEM BEACH RD
TULALIP, WA 98271
Phone: (360) 651-4511 Fax: (360) 716-5789
Mailing address
6406 MARINE DR STE A
TULALIP, WA 98271
Phone: (360) 651-4511 Fax: (361) 651-9451
Organization Subpart
No
Authorized Official
JEREMY HOWELL
HEALTH SYSTEM ADMINISTRATOR
Phone: (360) 716-5688
Updated
Certification Date
Apr 30, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for TULALIP TRIBES HEALTH CLINIC

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
medicaidWA1018537
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.

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.