UPPER SKAGIT INDIAN TRIBE (NPI# 1336129295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336129295 |
| Entity Type | Organization |
| Organization Name | UPPER SKAGIT INDIAN TRIBE |
| Other Organization Name | UPPER SKAGIT TRIBAL CLINIC |
| Practice Address |
25959 Community Plaza Way Sedro Woolley WA 98284-9721 |
| Mailing Address |
25944 Community Plaza Way Sedro Woolley WA 98284-9721 |
| Practice Telephone | 3608547070 |
| Practice Fax Number | 3608547060 |
| Mailing Telephone | 3608547070 |
| Mailing Fax Number | 3608547060 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2019-07-23 |
| Authorized Official Name | MS. MARILYN M SCOTT (TRIBAL VICE-CHAIRMAN) |
| Authorized Official Telephone | 3608547039 |
| Is Organization Subpart | Y |
| Parent Organization Name | UPPER SKAGIT INDIAN TRIBE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP00001654 | WA | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
;H00008445 | WA | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | RC00047287 | WA | Behavioral Health & Social Service Providers |
| N | 133V00000X | Dietitian, Registered | DI00001414 | WA | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | LP00022558 | WA | Dietary & Nutritional Service Providers |
| N | 208600000X | Surgery | MD00012663 | WA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | MD00012663 | WA | Allopathic & Osteopathic Physicians |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP30006120 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7203805 | 05 | |
| WA | 8466286 | 05 | |
| WA | 1981323 | 05 | |
| WA | 9645573 | 05 | |
| WA | 1008805 | 05 | |
| WA | 1995281 | 05 | |
| WA | 7084338 | 05 | |
| WA | 8024291 | 05 |
| Other Name | Type Code |
|---|---|
| Upper Skagit Tribal Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285895284 | Upper Skagit Indian Tribe | Counselor | 25959 Community Plaza Way, Sedro Woolley, WA 98284-9721 | 2008-06-23 |
| 1821259821 | Upper Skagit Indian Tribe | Counselor | 25959 Community Plaza Way, Sedro Woolley, WA 98284-9721 | 2008-06-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UPPER SKAGIT INDIAN TRIBE | 25944 Community Plaza, Sedro Woolley, WA 98284-9721 |
| Street Address |
25959 COMMUNITY PLAZA WAY |
| City | SEDRO WOOLLEY |
| State | WA |
| Zip Code | 98284-9721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922250877 | Kathleen Ann Hunter | Counselor | 25959 Community Plaza Way, Sedro Woolley, WA 98284-9721 | 2008-10-22 |
| 1285895284 | Upper Skagit Indian Tribe | Counselor | 25959 Community Plaza Way, Sedro Woolley, WA 98284-9721 | 2008-06-23 |
| 1821259821 | Upper Skagit Indian Tribe | Counselor | 25959 Community Plaza Way, Sedro Woolley, WA 98284-9721 | 2008-06-23 |
| 1356532030 | Jerry L Rusher | Specialist | 25959 Community Plaza Way, Sedro Woolley, WA 98284-9721 | 2007-08-07 |
| 1477698736 | Betty Jean Hansen | Licensed Practical Nurse | 25959 Community Plaza Way, Sedro Woolley, WA 98284-9721 | 2007-02-21 |
| 1386789634 | Jane Mayer | Clinical Nurse Specialist | 25959 Community Plaza Way, Sedro Woolley, WA 98284-9721 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138994 | Matthew Thomas Schaeffer | Counselor | 1690 Thompson Drive, Sedro Woolley, WA 98284 | 2020-09-09 |
| 1841852407 | Melissa Lynn Rose | Licensed Practical Nurse | Pcn, 1960 Thompson Dr, Sedro Wooley, WA 98284 | 2019-07-03 |
| 1730742842 | Joseph Q Elder | Counselor | 1803 North Sound Drive, Sedro Woolley, WA 98284 | 2019-04-16 |
| 1336610575 | John Allan Roeder II | Pharmacist | 320 Harrison St., Sedro-woolley, WA 98284 | 2018-12-16 |
| 1861931107 | Stacy Lee Chambers | Counselor | 1906 Thompson Drive, Sedro Woolley, WA 98284 | 2017-02-20 |
| 1033657309 | Carol Totten | Social Worker | 1960 Thompson Dr., Sedro-woolley, WA 98284 | 2017-02-07 |
| 1639414345 | Shannon L Moore | Licensed Practical Nurse | 1235 3rd Street, Sedro-woolley, WA 98284 | 2012-12-06 |
| 1013210111 | Ashley L Shaner | Physical Therapist | 709 Cook Rd, Sedro Woolley, WA 98284 | 2010-12-10 |
| 1417195660 | Susan L Pearson | Massage Therapist | 12263 N. Mill Street, Clearlake, WA 98284 | 2009-01-27 |
| 1093950883 | Tamara Lyn Stone | Massage Therapist | 460 Hilltop Drive, Sedro Woolley, WA 98284 | 2008-12-08 |
| Find all providers in zip 98284 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447869342 | Unity Care Northwest | Clinic/Center | 6046 Portal Way Ste 202, Ferndale, WA 98248-7829 | 2020-07-27 |
| 1881219426 | Healthpoint | Clinic/Center | 2902 Ne 12th St Ste 102, Renton, WA 98056-3126 | 2020-06-09 |
| 1235778812 | Seattle Indian Health Board | Clinic/Center | 410 2nd Avenue Ext S, Seattle, WA 98104-2876 | 2019-12-31 |
| 1376185694 | Neighborcare Health | Clinic/Center | 2709 3rd Ave, Seattle, WA 98121-1217 | 2019-10-09 |
| 1295383958 | King County Finance | Clinic/Center | 908 Jefferson St Fl 11, Seattle, WA 98104-2433 | 2019-08-27 |
| 1063069839 | Sea-mar Community Health Center | Clinic/Center | 6004 Capitol Boulevard Southwest, Tumwater, WA 98501-8520 | 2019-08-26 |
| 1194379354 | Yakima Neighborhood Health Services | Clinic/Center | 201 S 6th St, Yakima, WA 98901-2928 | 2019-07-26 |
| 1881254449 | Neighborcare Health | Clinic/Center | 7101 62nd Ave Ne Ste 4, Seattle, WA 98115-7168 | 2019-06-17 |
| 1578028866 | Neighborcare Health | Clinic/Center | 2119 3rd Ave, Seattle, WA 98121-2333 | 2019-01-31 |
| 1144703885 | Healthpoint | Clinic/Center | 219 State Ave N, Ste 100, Kent, WA 98030 | 2018-09-10 |
| Find all providers with the same taxonomy | ||||
| City | SEDRO WOOLLEY |
| Zip Code | 98284 |
Please comment or provide details below to improve the information on UPPER SKAGIT 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.