COWLITZ INDIAN TRIBE (NPI# 1528285038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528285038 |
| Entity Type | Organization |
| Organization Name | COWLITZ INDIAN TRIBE |
| Other Organization Name | COWLITZ TRIBAL TREATMENT |
| Practice Address |
900 Fir St Longview WA 98632 |
| Mailing Address |
Po Box 2429 Longview WA 98632-8486 |
| Practice Telephone | 3605758275 |
| Mailing Telephone | 3605758275 |
| Mailing Fax Number | 3605751950 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-04-24 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1994987 | 05 |
| Other Name | Type Code |
|---|---|
| Cowlitz Tribal Treatment | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1044 11th Ave, Longview, WA 986322506 | 3605758275 | 3605751950 |
| 7700 Ne 26th Ave, Vancouver, WA 986650672 | 3603539431 | |
| 15455 65th Ave S, Tukwila, WA 981882534 | 3603539431 |
| 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 |
| 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 |
900 FIR ST |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720086424 | Natalie East | Physical Therapist | 900 Fir St, Suite 1-j, Longview, WA 98632-2544 | 2005-07-07 |
| 1104439587 | Heather Marie Kraft | Peer Specialist | 900 Fir St, Longview, WA 98632-2544 | 2020-08-26 |
| 1487214409 | Machelle Denise Kurtz I | Counselor | 900 Fir St, Longview, WA 98632-2544 | 2019-06-20 |
| 1952868671 | Sonya M Packard | Counselor | 900 Fir St, Longview, WA 98632-2544 | 2019-02-28 |
| 1790264463 | Amie-jo Brassfield | Counselor | 900 Fir St, Longview, WA 98632-2544 | 2018-08-13 |
| 1194217976 | Tyler William Stockton | Counselor | 900 Fir St, Longview, WA 98632-2544 | 2018-06-06 |
| 1699773390 | Suzanne Gerhart | Physical Therapist | 900 Fir St, Suite 1-j, Longview, WA 98632-2544 | 2005-07-07 |
| 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 | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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|---|---|---|---|---|
| 1568788107 | Sabine Valley Regional Mhmr Center | Clinic/Center | 107 Woodbine Pl, Longview, TX 75601-2912 | 2010-04-07 |
| 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.