Nisqually Tribe Health Clinic

LBN: Nisqually Tribe Health Clinic
Nisqually Tribe Health Clinic is an health care organization with primary practice located at 4816 She Nah Num Dr Se , Olympia WA 98513-9105. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Nisqually Tribe Health Clinic can be contacted via phone (360) 459-5312, or through Wells, Rena via phone (360) 459-5312.

Contact Information

Primary practice address
4816 She Nah Num Dr Se Olympia WA 98513-9105
Phone: (360) 459-5312
Fax: (360) 407-0860
Website:
Map and Directions
Authorized official contact:
Name: Wells, Rena
Phone: (360) 459-5312

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1184815524
LBN Legal business name Nisqually Tribe Health Clinic
DBA Doing business as
Authorized official Wells, Rena
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2007
Last updated Aug 8th, 2007 - about 19 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184815524 NPPES
Washington MEDICAID 7084312

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