COWLITZ INDIAN TRIBE (NPI# 1346465101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346465101 |
Entity Type | Organization |
Organization Name | COWLITZ INDIAN TRIBE |
Other Organization Name | COWLITZ INDIAN TRIBAL HEALTH SERVICES |
Practice Address |
1044 11th Ave Longview WA 98632-2506 |
Mailing Address |
Po Box 2429 Longview WA 98632-8486 |
Practice Telephone | 3605758275 |
Practice Fax Number | 3605751950 |
Mailing Telephone | 3605758275 |
Mailing Fax Number | 3605751950 |
Enumeration Date | 2007-04-16 |
Last Update Date | 2018-03-22 |
Authorized Official Name | SHAVON KELLER (BILLING SUPERVISOR) |
Authorized Official Telephone | 3603539431 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 7122898 | 05 |
Other Name | Type Code |
---|---|
Cowlitz Indian Tribal Health Services | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861722258 | Cowlitz Indian Tribe | Clinic/Center | 107 Spencer Rd, Toledo, WA 98591 | 2010-01-06 |
1164649679 | Cowlitz Indian Tribe | Clinic/Center | 7700 Ne 26th Ave, Vancouver, WA 98665-0672 | 2007-04-19 |
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 |
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 |
1044 11TH AVE |
City | LONGVIEW |
State | WA |
Zip Code | 98632-2506 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851347454 | Joyce Elaine Tobias | Nurse Practitioner | 1044 11th Ave, Suite A, Longview, WA 98632-2506 | 2006-05-25 |
1205454717 | Randi Lyn Powell Sexton | Registered Nurse | 1044 11th Ave, Longview, WA 98632-2506 | 2020-07-10 |
1821636143 | Bridie Jo Ann Rogers | Registered Nurse | 1044 11th Ave, Longview, WA 98632-2506 | 2019-12-17 |
1225596836 | Thomas Joseph Burckhardt Jr. | Registered Nurse | 1044 11th Ave, Longview, WA 98632-2506 | 2019-03-04 |
1689138729 | Alyssa Chana Fine | Registered Nurse | 1044 11th Ave, Longview, WA 98632-2506 | 2019-01-23 |
1285133876 | Angela Lynn Dunn | Counselor | 1044 11th Ave, Longview, WA 98632-2506 | 2018-02-08 |
1710497839 | Christopher Leslie Standridge | Counselor | 1044 11th Ave, Longview, WA 98632-2506 | 2017-10-03 |
1790215499 | Allison Taylor | Counselor | 1044 11th Ave, Longview, WA 98632-2506 | 2017-06-14 |
1952840944 | Kelsey Delagrange | Counselor | 1044 11th Ave, Longview, WA 98632-2506 | 2017-02-23 |
1679025019 | Leslie Pfannes | Counselor | 1044 11th Ave, Longview, WA 98632-2506 | 2016-11-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
Find all providers in zip 98632 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609382209 | Beverly Advanced Practice Nursing, Pllc | Clinic/Center | 103a Woodbine Pl, Longview, TX 75601-2912 | 2017-12-18 |
1386003036 | Evelyn L Green | Clinic/Center | 818 N 4th St, Longview, TX 75601-5433 | 2016-02-22 |
1447540240 | Careplus of East Texas Pllc | Clinic/Center | 2010 Bill Owens Pkwy, Location 2: 1600 E. Broadway, Gladewater, Tx 75647, Longview, TX 75604-6210 | 2011-04-13 |
1457472110 | Sita M Devulapalli, Md, Pa | Clinic/Center | 903 Walnut Hill Dr, Suite 1, Longview, TX 75605-5062 | 2007-04-02 |
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1063037034 | Pioneer Family Medicine, Pllc | Clinic/Center | 20 E J St Ste 2b, Deer Park, WA 99006-8500 | 2020-06-15 |
1922622158 | Vera Whole Health Wa, PC | Clinic/Center | 16009 E Indiana Ave, Spokane Valley, WA 99216 | 2020-06-03 |
1578183729 | Family Care Network Pllc | Clinic/Center | 3548 Meridian St, Suite #101-b, Bellingham, WA 98225 | 2020-04-17 |
1548800451 | Vera Whole Health Wa PC | Clinic/Center | 1601 N Division St, Spokane, WA 99207-2427 | 2020-01-08 |
1821634312 | Columbia Basin Mobile Medicine LLC | Clinic/Center | 1357 Platinum Pl, West Richland, WA 99353-5108 | 2019-11-20 |
1063056497 | A Community Wellness Clinic LLC | Clinic/Center | 2405 E 17th Ave Ste 113, Spokane, WA 99223-5122 | 2019-10-29 |
1013550987 | Rejuventa Medical Corp. | Clinic/Center | 107 North Tower Ave Suite 17, Centralia, WA 98531-4253 | 2019-10-23 |
1023668407 | Vera Whole Health Wa, PC | Clinic/Center | 4933 Evergreen Way, Everett, WA 98203-2828 | 2019-09-17 |
1679042501 | Family and Wellness Medicine | Clinic/Center | 34004 16th Ave S Ste 100, Federal Way, WA 98003-8905 | 2018-11-20 |
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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.