NORTHWEST INDIAN TREATMENT CENTER (NPI# 1588747059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588747059 |
| Entity Type | Organization |
| Organization Name | NORTHWEST INDIAN TREATMENT CENTER |
| Practice Address |
308 E. Young Street Box 477 Elma WA 98541 |
| Mailing Address |
308 East Young Street Box 477 Elma WA 98541-0000 |
| Practice Telephone | 3604822674 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. JUNE O'BRIEN (DIRECTOR) |
| Authorized Official Telephone | 3604701474 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | RTF1034 | WA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1990696 | 05 | |
| WA | 1981026 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669508537 | Northwest Indian Treatment Center | Clinic/Center | 100 Se Whitener Rd, Shelton, WA 98584-7747 | 2007-02-26 |
| 1215063169 | Northwest Indian Treatment Center | Clinic/Center | 100 Se Whitener Rd, Shelton, WA 98584-7747 | 2007-02-26 |
| Street Address |
308 E. YOUNG STREET BOX 477 |
| City | ELMA |
| State | WA |
| Zip Code | 98541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962021444 | Rabab Cheema | Student in an Organized Health Care Education/Training Program | Summit Pacific Family Medicine, 600 E. Main Street, Elma, WA 98541 | 2020-04-14 |
| 1164087896 | Jamie Christina Talley | Massage Therapist | 201 S. 3rd Street, Elma, WA 98541 | 2019-05-08 |
| 1306359377 | Brandy L Hahn | Counselor | 308 E. Young St, Elma, WA 98541 | 2017-11-13 |
| 1205349412 | Charli Loretta Jankord | Massage Therapist | 201 South 3rd Street, Elma, WA 98541 | 2017-11-09 |
| 1588194013 | Janel Lynn Lewis | Counselor | 575 E. Main Suite C, Elma, WA 98541 | 2017-06-18 |
| 1962931139 | Cole Robert Johnson | Counselor | 575 E Main Street, Elma, WA 98541 | 2017-06-09 |
| 1922323880 | Kimberly Ann Peters | Counselor | 308 E. Young St., Elma, WA 98541 | 2010-04-05 |
| 1467776112 | Amy L Lystad | Counselor | 114 S. 5th St., Elma, WA 98541 | 2010-03-24 |
| 1649593336 | Maja C Ballew | Massage Therapist | 434 West Main Street, Elma, WA 98541 | 2010-03-09 |
| 1659603066 | Cristiana Maria Franklin | Counselor | 308 E. Young, Elma, WA 98541 | 2010-02-10 |
| Find all providers in zip 98541 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787763 | For The Culture Counseling Services | Substance Abuse Rehabilitation Facility | 4301 S Pine St Ste 92, Tacoma, WA 98409-7259 | 2020-10-12 |
| 1760090518 | Hotel California By The Sea Bellevue, LLC. | Substance Abuse Rehabilitation Facility | 7810 130th Ave Ne, Kirkland, WA 98033-8251 | 2020-07-17 |
| 1629532569 | Sandra Ann Moore | Substance Abuse Rehabilitation Facility | 2632 E 17th St, Bremerton, WA 98310-5058 | 2019-01-24 |
| 1972085835 | Peninsula Counseling, LLC | Substance Abuse Rehabilitation Facility | 3214 50th Street Ct Nw Ste D-305, Gig Harbor, WA 98335-8589 | 2018-09-06 |
| 1356831911 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 44 E Cozza Dr Ste B, Spokane, WA 99208-6514 | 2018-05-18 |
| 1609365238 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 500 Se Adams Ave, Chehalis, WA 98532 | 2018-05-09 |
| 1023515400 | Evergreen Recovery Centers | Substance Abuse Rehabilitation Facility | 1905 Continental Place, Mount Vernon, WA 98273 | 2018-04-11 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1346785524 | Big Change Medical | Substance Abuse Rehabilitation Facility | 26857 16th Ave S, Des Moines, WA 98198-9327 | 2016-12-27 |
| 1881062362 | Sea-mar Community Health Center | Substance Abuse Rehabilitation Facility | 113 23rd Ave S, Seattle, WA 98144-2309 | 2015-09-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NORTHWEST INDIAN TREATMENT CENTER.
| 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.