COWLITZ INDIAN TRIBE (NPI# 1164649679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164649679 |
| Entity Type | Organization |
| Organization Name | COWLITZ INDIAN TRIBE |
| Other Organization Name | COWLITZ TRIBAL TREATMENT |
| Practice Address |
7700 Ne 26th Ave Vancouver WA 98665-0672 |
| Mailing Address |
P.o. Box 2429 Longview WA 98632 |
| Practice Telephone | 3603978228 |
| Practice Fax Number | 3605751950 |
| Mailing Telephone | 3603978228 |
| Mailing Fax Number | 3605751950 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2018-03-22 |
| Authorized Official Name | SHAVON KELLER (BILLING SUPERVISOR) |
| Authorized Official Telephone | 3603539431 |
| Is Organization Subpart | Y |
| Parent Organization Name | COWLITZ INDIAN TRIBE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Cowlitz Tribal Treatment | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861722258 | Cowlitz Indian Tribe | Clinic/Center | 107 Spencer Rd, Toledo, WA 98591 | 2010-01-06 |
| 1972962165 | Cowlitz Indian Tribe | Clinic/Center | 7700 Ne 26th Ave, Vancouver, WA 98665-0672 | 2016-02-16 |
| 1225382328 | Cowlitz Indian Tribe | Clinic/Center | 15455 65th Ave S, Tukwila, WA 98188 | 2012-10-29 |
| 1538412630 | Cowlitz Indian Tribe | Clinic/Center | 15455 65th Ave S, Tukwila, WA 98188 | 2012-10-26 |
| 1740562909 | Cowlitz Indian Tribe | Clinic/Center | 1044 11th Ave, Longview, WA 98632-2506 | 2011-09-14 |
| 1619194123 | Cowlitz Indian Tribe | Clinic/Center | 922 Fir St, Longview, WA 98632 | 2007-04-19 |
| 1528285038 | Cowlitz Indian Tribe | Clinic/Center | 900 Fir St, Longview, WA 98632 | 2007-04-19 |
| 1346465101 | Cowlitz Indian Tribe | Clinic/Center | 1044 11th Ave, Longview, WA 98632-2506 | 2007-04-16 |
| 1851328447 | Cowlitz Indian Tribe | Clinic/Center | 1044 11th Ave, Longview, WA 98632 | 2006-06-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COWLITZ INDIAN TRIBE | 1055 9th Ave Ste B, Longview, WA 98632-2661 |
| Street Address |
7700 NE 26TH AVE |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98665-0672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790137040 | Karen Lavoie | Counselor | 7700 Ne 26th Ave, Vancouver, WA 98665-0672 | 2016-07-11 |
| 1972962165 | Cowlitz Indian Tribe | Clinic/Center | 7700 Ne 26th Ave, Vancouver, WA 98665-0672 | 2016-02-16 |
| 1801202528 | Julie M. Peterson | Registered Nurse | 7700 Ne 26th Ave, Vancouver, WA 98665-0672 | 2014-07-02 |
| 1104261817 | Kara D Frizzell | Social Worker | 7700 Ne 26th Ave, Vancouver, WA 98665-0672 | 2013-05-08 |
| 1114246535 | Christopher Todd Lake | Counselor | 7700 Ne 26th Ave, Vancouver, WA 98665-0672 | 2010-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023584877 | Always Smiles Dentistry | Dentist | 910 Ne Minnehaha St #12, Vancouver, WA 98665 | 2018-10-19 |
| 1255811196 | Rachael Hickert | Counselor | 1179 Northeast 95th Street, Vancouver, WA 98665 | 2018-08-20 |
| 1063899011 | Edward Michael Borromeo | Massage Therapist | 8500 Ne Hazel Dell Ave Apt. B4, Vancouver, WA 98665 | 2015-04-29 |
| 1033460811 | Gretchen Ann Bell | Speech-Language Pathologist | 511 Ne Anderson Road, Vancouver, WA 98665 | 2012-09-20 |
| 1831322379 | Diana Miriam Copeland | Massage Therapist | 517 Ne 85th Cir, Vancouver, WA 98665 | 2009-09-01 |
| 1073782116 | Roxanne Marie Brown | Contractor | 7902 Ne St. Johns Rd. Ste 105a, Vancouver, WA 98665 | 2008-02-22 |
| 1588726657 | Emil V. Knysh | Contractor | 1307-b Ne 78th. Street, Suite #3, Vancouver, WA 98665 | 2006-12-15 |
| 1275611501 | Jerry L Reams | Contractor | 1307b Ne 78th St., Suite 3, Vancouver, WA 98665 | 2006-11-02 |
| 1053409961 | Richard C. Sheron Dmd Ps | Dentist | 1200 Ne 99th Street, Vancouver, WA 98665 | 2006-10-10 |
| 1316048887 | Frank Roberts Mossman | Optometrist | 7600 Hazeldell Ave, Vancouver, WA 98665 | 2006-09-26 |
| Find all providers in zip 98665 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134306798 | Evelyn Meyer | Clinic/Center | 111 W 39th St Ste A, Vancouver, WA 98660-1974 | 2008-01-25 |
| 1407397722 | Sea-mar Community Health Center | Clinic/Center | 11801 Ne 65th St, Vancouver, WA 98662-5527 | 2017-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145682 | Sea Mar Community Health Centers | Clinic/Center | 4100 194th St Sw Ste 120, Lynnwood, WA 98036-4613 | 2020-08-18 |
| 1386278372 | Social Treatment Opportunity Programs II, Inc | Clinic/Center | 600 S 1st Ave, Othello, WA 99344-1703 | 2020-02-27 |
| 1326672692 | Excelsior Integrated Care Center LLC | Clinic/Center | 3910 W. Indian Trail Rd, Spokane, WA 99208-4739 | 2020-02-26 |
| 1659919561 | Baart Behavioral Health Services, Inc. | Clinic/Center | 716 S Chase St, Port Angeles, WA 98362-6122 | 2019-12-11 |
| 1346888260 | Baart Behavioral Health Services, Inc. | Clinic/Center | 1520 Ne Riddell Rd Ste 110, Bremerton, WA 98310-3005 | 2019-12-11 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1780174441 | American Behavioral Health Systems, Inc. | Clinic/Center | 715 E Sprague Ave Ste 107, Spokane, WA 99202-2142 | 2018-05-17 |
| 1598255267 | American Behavioral Healt Systems, Inc. | Clinic/Center | 7208 267th St Nw Ste A-100, Stanwood, WA 98292-6289 | 2018-05-17 |
| 1437648136 | American Behavioral Health Systems, Inc. | Clinic/Center | 8625 Evergreen Way Ste 100, Everett, WA 98208-2620 | 2018-05-08 |
| 1487143350 | Steve Parker | Clinic/Center | 1206 State Ave Ste H, Marysville, WA 98270-3645 | 2018-05-07 |
| 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.