SNOQUALMIE INDIAN TRIBE (NPI# 1043873722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043873722 |
| Entity Type | Organization |
| Organization Name | SNOQUALMIE INDIAN TRIBE |
| Practice Address |
9575 Ethan Wade Way Se Snoqualmie WA 98065-9577 |
| Mailing Address |
Po Box 969 Snoqualmie WA 98065-0969 |
| Practice Telephone | 4258315425 |
| Practice Fax Number | 4258315428 |
| Mailing Telephone | 4258315425 |
| Mailing Fax Number | 4258315428 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2020-07-27 |
| Authorized Official Name | JEAN MEDINA (COMPLIANCE MANAGER) |
| Authorized Official Telephone | 4258886551 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730571910 | Snoqualmie Indian Tribe | Community/Behavioral Health | 9450 Ethan Wade Way Se, Snoqualmie, WA 98065-9520 | 2015-02-25 |
| 1518276419 | Snoqualmie Indian Tribe | Clinic/Center | 1308 Boalch Ave Nw, North Bend, WA 98045-8908 | 2010-09-27 |
| 1134310865 | Snoqualmie Indian Tribe | Family Medicine | 8130 Railroad Avenue, Snoqualmie, WA 98065-0969 | 2007-08-07 |
| 1629029228 | Snoqualmie Indian Tribe | Clinic/Center | 404 Main Ave S, North Bend, WA 98045-8215 | 2006-05-16 |
| Street Address |
9575 ETHAN WADE WAY SE |
| City | SNOQUALMIE |
| State | WA |
| Zip Code | 98065-9577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932155561 | Jason Philip Rubin | Emergency Medicine | 9575 Ethan Wade Way Se, Snoqualmie, WA 98065-9577 | 2006-05-25 |
| 1558841403 | Kathleen Marie Furness | Counselor | 9575 Ethan Wade Way Se, Snoqualmie, WA 98065-9577 | 2018-08-20 |
| 1225520554 | Teylor Wilbur | Registered Nurse | 9575 Ethan Wade Way Se, Snoqualmie, WA 98065-9577 | 2018-06-01 |
| 1346789732 | Christa Michelle Mcallister | Counselor | 9575 Ethan Wade Way Se, Snoqualmie, WA 98065-9577 | 2017-02-17 |
| 1669827077 | Elizabeth Ann Touma | Marriage & Family Therapist | 9575 Ethan Wade Way Se, Snoqualmie, WA 98065-9577 | 2016-05-04 |
| 1417301201 | Anna Helena Wahlstrom | Counselor | 9575 Ethan Wade Way Se, Snoqualmie, WA 98065-9577 | 2016-04-18 |
| 1699138925 | Erin Costantino | Speech-Language Pathologist | 9575 Ethan Wade Way Se, Snoqualmie, WA 98065-9577 | 2016-04-04 |
| 1003251232 | Yvette Artman | Speech-Language Pathologist | 9575 Ethan Wade Way Se, Snoqualmie Valley Hospital, Snoqualmie, WA 98065-9577 | 2013-05-01 |
| 1053756478 | Lisa M Krasowski | Physical Therapy Assistant | 9575 Ethan Wade Way Se, Snoqualmie, WA 98065-9577 | 2013-04-30 |
| 1538421854 | Perez Adhiambo Seda | Counselor | 9575 Ethan Wade Way Se, Snoqualmie, WA 98065-9577 | 2012-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891265807 | Adam Kutzner | Dentist | 34929 Se Ridge Street Suite 220, Snoqualmie, WA 98065 | 2018-12-03 |
| 1396215000 | Anna Maher | Counselor | 37624 Se Fury St Ste 203, Snoqualmie, WA 98065 | 2018-11-26 |
| 1194271718 | Cindy Costa | Specialist | 38579 Se River Street, Suite 13, Snoqualmie, WA 98065 | 2016-09-01 |
| 1548716830 | Snoqualmie Family Dentistry | Clinic/Center | 38475 Se River Street, Snoqualmie, WA 98065 | 2016-08-28 |
| 1851769202 | Greg Kiper | Counselor | 9571 Ethan Wade Way Se, Snoqualmie, WA 98065 | 2015-09-02 |
| 1952792814 | Casi Davis | Registered Nurse | 8476 Se Reinig Pl, Snoqualmie, WA 98065 | 2015-02-13 |
| 1336484443 | Heidi Biddle | Counselor | 7972 Maple Ave. Se, Snoqualmie, WA 98065 | 2012-11-29 |
| 1255675302 | Patricia Soderlund Holladay | Occupational Therapist | 8001 Silva Ave Se, Snoqualmie, WA 98065 | 2012-11-15 |
| 1750635066 | Anne Elizabeth Mcgavran | Registered Nurse | 8001 Silva Avenue South East, Snoqualmie, WA 98065 | 2012-11-08 |
| 1447552005 | Friends of Youth | Community/Behavioral Health | 7972 Maple Ave. Se., Snoqualmie, WA 98065 | 2010-12-02 |
| Find all providers in zip 98065 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271223 | Christy Webster Legler, Pmhnp-bc, Pllc | Clinic/Center | 608 S G St, Tacoma, WA 98405-4625 | 2020-10-07 |
| 1447866496 | Rogers Behavioral Health - Washington Inc | Clinic/Center | 1215 114th Ave Se, Bellevue, WA 98004-6929 | 2020-09-16 |
| 1730794421 | Reflect | Clinic/Center | 308 E Republican St Apt 701, Seattle, WA 98102-6804 | 2020-09-10 |
| 1588278394 | Makenzie Muilenburg Counseling | Clinic/Center | 271 Ne 45th St, Seattle, WA 98105-6147 | 2020-08-31 |
| 1477163160 | Columbia Valley Community Health | Clinic/Center | 504 Orondo Ave Ste A, Wenatchee, WA 98801-2830 | 2020-08-06 |
| 1972113165 | Hanmin Corporation | Clinic/Center | 4060 138th Ave Se, Bellevue, WA 98006-1431 | 2020-08-03 |
| 1801405642 | United Early Learning & Family Center LLC | Clinic/Center | 106 N Elm St, Grandview, WA 98930-1009 | 2020-07-28 |
| 1972111201 | Core Psychology Group Pllc | Clinic/Center | 6325 17th Ave Nw, Seattle, WA 98107-2320 | 2020-07-22 |
| 1114535853 | Behind The Mask Therapy | Clinic/Center | 1908 Nw 4th Ave, Battle Ground, WA 98604-6823 | 2020-07-20 |
| 1386262376 | Everwell Counseling Pllc | Clinic/Center | 306 E 18th Ave, Spokane, WA 99203-2217 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
| City | SNOQUALMIE |
| Zip Code | 98065 |
Please comment or provide details below to improve the information on SNOQUALMIE INDIAN TRIBE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.