LOWER ELWHA KLALLAM TRIBE (NPI# 1295851160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295851160 |
| Entity Type | Organization |
| Organization Name | LOWER ELWHA KLALLAM TRIBE |
| Other Organization Name | LOWER ELWHA HEALTH & HUMAN SERVICES |
| Practice Address |
3080 Lower Elwha Rd Port Angeles WA 98363-8411 |
| Practice Telephone | 3604528471 |
| Practice Fax Number | 3604578429 |
| Mailing Telephone | 3604528471 |
| Mailing Fax Number | 3604578429 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | FRANCES G CHARLES (CHAIRWOMAN) |
| Authorized Official Telephone | 3604528471 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lower Elwha Health & Human Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841316023 | Lower Elwha Klallam Tribe | Clinic/Center | 2851 Lower Elwha Rd, Port Angeles, WA 98363-8409 | 2007-03-21 |
| 1841316700 | Lower Elwha Klallam Tribe | Clinic/Center | 3080 Lower Elwha Rd, Port Angeles, WA 98363-8411 | 2007-03-22 |
| 1821114026 | Lower Elwha Klallam Tribe | Clinic/Center | 243511 W Highway 101, Port Angeles, WA 98363-9472 | 2007-03-21 |
| 1841316916 | Lower Elwha Klallam Tribe | Clinic/Center | 933 E 1st St, Port Angeles, WA 98362-4012 | 2007-03-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LOWER ELWHA KLALLAM TRIBE | 2851 Lower Elwha Rd, Port Angeles, WA 98363-8409 |
| Street Address |
3080 LOWER ELWHA RD |
| City | PORT ANGELES |
| State | WA |
| Zip Code | 98363-8411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780731935 | Amy Sarver Ward | Dietitian, Registered | 3080 Lower Elwha Rd, Port Angeles, WA 98363-8411 | 2007-01-03 |
| 1841316700 | Lower Elwha Klallam Tribe | Clinic/Center | 3080 Lower Elwha Rd, Port Angeles, WA 98363-8411 | 2007-03-22 |
| 1043358153 | Rebekah Christine Tourbin | Counselor | 3080 Lower Elwha Rd, Port Angeles, WA 98363-8411 | 2007-02-01 |
| 1831249960 | Robert Anthony Welch | Marriage & Family Therapist | 3080 Lower Elwha Rd, Port Angeles, WA 98363-8411 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164073185 | Sandra Lier | Technician | 1064 Freshwater Park Rd., Port Angeles, WA 98363 | 2019-09-20 |
| 1053969451 | Kari Ann Walen | Physician Assistant | 4407 Fairmont Ave, Port Angeles, WA 98363 | 2019-08-28 |
| 1407313059 | Christina Chadick | Counselor | 243511 Hwy 101 W., Port Angeles, WA 98363 | 2019-03-01 |
| 1982198214 | Serenity House of Clallam County | Case Management | 2203 W. 18th Street, Port Angeles, WA 98363 | 2018-06-20 |
| 1528564325 | Katelynne Mcdaniels | Behavior Technician | 1915 West 5th St, Port Angeles, WA 98363 | 2018-04-02 |
| 1730574930 | Vladislav Abaturov | Nurse Practitioner | 4407 Fairmont Avenue, Port Angeles, WA 98363 | 2015-04-03 |
| 1710314703 | Allan M Steigerwald | Anesthesiology | 4217 South Bean Road, Port Angeles, WA 98363 | 2013-10-04 |
| 1033431010 | Jean Leslie Kruger | Counselor | 3080 Lower Elwha Road, Port Angeles, WA 98363 | 2010-02-18 |
| 1518297001 | John Robert Zey | General Practice | 601 Diamond Vista Drive, Port Angeles, WA 98363 | 2010-01-05 |
| 1043540651 | Connie Lou Landrum | General Practice | 641 Diamond Vista Dr, Port Angeles, WA 98363 | 2010-01-04 |
| Find all providers in zip 98363 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375345 | Community Health Care | Clinic/Center | 15610 89th St. Ct. Kpn, Lakebay, WA 98349-9840 | 2020-10-30 |
| 1063026391 | Community Health Care | Clinic/Center | 3811 E Arlington Dr Rm 117, Tacoma, WA 98404-4613 | 2020-09-03 |
| 1093351850 | Stork Midwifery | Clinic/Center | 1523 10th St, Marysville, WA 98270-4663 | 2019-11-26 |
| 1891343075 | Country Doctor Community Clinic | Clinic/Center | 1621 S Jackson St Ste 201, Seattle, WA 98144-2277 | 2019-08-30 |
| 1497314819 | Community Health Care | Clinic/Center | 22001 38th Ave E Rm 111, Spanaway, WA 98387-6875 | 2019-06-10 |
| 1104204957 | Optimal Health and Wellness | Clinic/Center | 1267 Belmont Way, Clarkston, WA 99403 | 2015-05-13 |
| 1891030300 | Fred Meyer Pharmacy | Clinic/Center | 4505 South 19th, Tacoma, WA 98405 | 2012-12-10 |
| 1407076110 | Community Health Care | Clinic/Center | 1202 Martin Luther King Jr. Way, Tacoma, WA 98405 | 2007-04-26 |
| 1831317098 | Community Health Care | Clinic/Center | 3611 S D St, Suite 7, Tacoma, WA 98418-6813 | 2007-04-23 |
| 1194943308 | Community Health Care | Clinic/Center | 1708 East 44th St, Tacoma, WA 98404-4611 | 2007-04-23 |
| Find all providers with the same taxonomy | ||||
| City | PORT ANGELES |
| Zip Code | 98363 |
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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.