QUINAULT INDIAN NATION (NPI# 1093888547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093888547 |
| Entity Type | Organization |
| Organization Name | QUINAULT INDIAN NATION |
| Other Organization Name | ROGER SAUX HEALTH CENTER |
| Practice Address |
1505 Kla-ook-wa Drive Taholah WA 98587 |
| Mailing Address |
Po Box 219 1505 Kla-ook-wa Dr. Taholah WA 98587 |
| Practice Telephone | 3602764405 |
| Practice Fax Number | 3602764602 |
| Mailing Telephone | 3602764405 |
| Mailing Fax Number | 3602764602 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2008-05-27 |
| Authorized Official Name | MARIAH YVONNE RALSTON (OFFICE MANAGER) |
| Authorized Official Telephone | 3602764405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7082191 | 05 |
| Other Name | Type Code |
|---|---|
| ROGER SAUX HEALTH CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245501048 | Quinault Indian Nation | Ambulance | 1505 Kla-ook-wa Drive, Taholah, WA 98587-0219 | 2012-01-25 |
| 1750573911 | Quinault Indian Nation | Clinic/Center | 1505 Kla-ook-wa Dr, Taholah, WA 98587 | 2007-08-13 |
| 1457542847 | Quinault Indian Nation | Clinic/Center | 1505 Kla-ook-wa Dr, Taholah, WA 98587 | 2007-08-09 |
| Street Address |
1505 KLA-OOK-WA DRIVE |
| City | TAHOLAH |
| State | WA |
| Zip Code | 98587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962832097 | Brenda Jayne Rhoades | Massage Therapist | 1505 Kla-ook-wa Drive, Taholah, WA 98587-0219 | 2013-11-27 |
| 1548502016 | Alex Eugene Fabini | Counselor | 1505 Kla-ook-wa Drive, Taholah, WA 98587 | 2013-03-22 |
| 1245501048 | Quinault Indian Nation | Ambulance | 1505 Kla-ook-wa Drive, Taholah, WA 98587-0219 | 2012-01-25 |
| 1962771782 | Ernie V Sanchez | Counselor | 1505 Kla-ook-wa Drive, Taholah, WA 98587 | 2011-12-22 |
| 1861700080 | Gary D Faber | Counselor | 1505 Kla-ook-wa Drive, Taholah, WA 98587 | 2010-09-22 |
| 1912238080 | Dawn Rae Bankson | Nurse Practitioner | 1505 Kla-ook-wa Drive, Taholah, WA 98587 | 2010-01-28 |
| 1710112982 | Tamara A Dudley | Counselor | 1505 Kla-ook-wa Drive, Taholah, WA 98587-0219 | 2009-05-18 |
| 1144462805 | Kimberly Claire Mclaury | Dietitian, Registered | 1505 Kla-ook-wa Drive, Taholah, WA 98587-0219 | 2009-03-27 |
| 1659511087 | Susan C Davis | Counselor | 1505 Kla-ook-wa Drive, Taholah, WA 98587-0219 | 2009-02-25 |
| 1831239854 | Robert P Young | Pharmacist | 1505 Kla-ook-wa Drive, Roger Saux Health Center, Taholah, WA 98587 | 2007-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194985499 | Lisa Hall | Emergency Medical Technician, Paramedic | 1505 Kal-ook-wah Drive, Taholah, WA 98587 | 2008-06-11 |
| 1427171628 | Roger Saux Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1505 Klaookwa Drive, Taholah, WA 98587 | 2007-04-10 |
| 1609997766 | Alyson Gale Roby | Family Medicine | 1505 Kla-ook-wah Dr, Taholah, WA 98587 | 2007-04-03 |
| 1588799571 | Hope Errin Edwards | Counselor | 1505 Kla-ook-wa Way, Taholah, WA 98587 | 2007-02-22 |
| 1538240155 | Taholah School District | Local Education Agency (LEA) | 600 Chitwhin Drive, Taholah, WA 98587 | 2006-10-18 |
| 1225657844 | Pavel Mitin | Pharmacist | 1505 Kla-ook-wa Dr, Taholah, WA 98587 | 2020-04-14 |
| 1932678224 | Tricia Dee Bumgarner | Massage Therapist | 1505 Kla-ook-wa Dr, Taholah, WA 98587 | 2018-11-16 |
| 1851563860 | Mary Louise Hart | Nurse Practitioner | 1505 Kla-ook-wa Dr, Taholah, WA 98587 | 2008-03-31 |
| 1477737781 | Holly Anne Mullins | Massage Therapist | 1505 Kla-ook-wa Dr, Taholah, WA 98587 | 2007-12-21 |
| 1750573911 | Quinault Indian Nation | Clinic/Center | 1505 Kla-ook-wa Dr, Taholah, WA 98587 | 2007-08-13 |
| Find all providers in zip 98587 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811555931 | Okanogan County Public Hospital Dist No 4 | Clinic/Center | 118 N Whitcomb Ave, Tonasket, WA 98855-8803 | 2019-06-04 |
| 1790204154 | Sunnyside Community Hospital Association | Clinic/Center | 715 N Park Ctr, Selah, WA 98942-1174 | 2017-09-15 |
| 1699215384 | Sunnyside Community Hospital Association | Clinic/Center | 505 W 4th Ave, Toppenish, WA 98948-1615 | 2017-03-01 |
| 1609112739 | Grant County Public Hospital District. No. 1 | Clinic/Center | 8420 Aspi Blvd, Moses Lake, WA 98837-1820 | 2012-12-18 |
| 1801188073 | Jefferson County Public Hospital District No 2 | Clinic/Center | 89 Breaker Ln, Port Ludlow, WA 98365-9766 | 2011-05-06 |
| 1255651907 | Family Care Network Pllc | Clinic/Center | 2511 M Ave Ste A, Anacortes, WA 98221-3897 | 2010-06-04 |
| 1871822676 | Public Hospital District 3 of Pacific County | Clinic/Center | 167 1st Avenue North, Ilwaco, WA 98624-0319 | 2009-12-08 |
| 1720276207 | Richard L. Dickson | Clinic/Center | 481 West E St, Forks, WA 98331 | 2007-10-09 |
| 1316138720 | L. Keith Hanson Pllc | Clinic/Center | 520 W. Indian Avenue, Brewster, WA 98812 | 2007-08-09 |
| 1407055742 | San Juan Healthcare PC | Clinic/Center | 689 Airport Center Dr Suite B, Friday Harbor, WA 98250 | 2007-07-17 |
| Find all providers with the same taxonomy | ||||
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| 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.