SNOQUALMIE INDIAN TRIBE (NPI# 1629029228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629029228 |
| Entity Type | Organization |
| Organization Name | SNOQUALMIE INDIAN TRIBE |
| Other Organization Name | SNOQUALMIE TRIBE HEALTH SERVICES |
| Practice Address |
404 Main Ave S North Bend WA 98045-8215 |
| Mailing Address |
Po Box 969 Snoqualmie WA 98065-0969 |
| Practice Telephone | 4258312100 |
| Practice Fax Number | 4258312100 |
| Mailing Fax Number | 4258312145 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2010-10-14 |
| Authorized Official Name | MARY JO MILLER (BILLING COORDINATOR) |
| Authorized Official Telephone | 4258312100 |
| Is Organization Subpart | Y |
| Parent Organization Name | SNOQUALMIE INDIAN TRIBE |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7115447 | 05 | |
| WA | 9614603 | 05 |
| Other Name | Type Code |
|---|---|
| Snoqualmie Tribe Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043873722 | Snoqualmie Indian Tribe | Clinic/Center | 9575 Ethan Wade Way Se, Snoqualmie, WA 98065-9577 | 2019-04-17 |
| 1730571910 | Snoqualmie Indian Tribe | Community/Behavioral Health | 9450 Ethan Wade Way Se, Snoqualmie, WA 98065-9520 | 2015-02-25 |
| 1518276419 | Snoqualmie Indian Tribe | Clinic/Center | 1308 Boalch Ave Nw, North Bend, WA 98045-8908 | 2010-09-27 |
| 1134310865 | Snoqualmie Indian Tribe | Family Medicine | 8130 Railroad Avenue, Snoqualmie, WA 98065-0969 | 2007-08-07 |
| Street Address |
404 MAIN AVE S |
| City | NORTH BEND |
| State | WA |
| Zip Code | 98045-8215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336190990 | Gerald N Yorioka | Family Medicine | 404 Main Ave S, North Bend, WA 98045-8215 | 2006-05-16 |
| 1477057255 | Im Ghorbanian Kahlon Dds Pllc | Clinic/Center | 404 Main Ave S, North Bend, WA 98045-8215 | 2018-03-19 |
| 1326094186 | Linda L Pelland | Family Medicine | 404 Main Ave S, North Bend, WA 98045-8215 | 2006-05-25 |
| 1366493959 | Stephen M Fish | Family Medicine | 404 Main Ave S, North Bend, WA 98045-8215 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730426388 | Corrinna Walter | Student in an Organized Health Care Education/Training Program | 1345 Stilson Avenue Se, North Bend, WA 98045 | 2013-01-15 |
| 1265776066 | Barry Crossan | Pharmacist | 360 E North Bend Way, North Bend, WA 98045 | 2012-11-16 |
| 1013200807 | Therapeutic Health LLC | Massage Therapist | 230 W 3rd Street, North Bend, WA 98045 | 2011-05-26 |
| 1922399500 | Nicole Renee Femling | Massage Therapist | 111 W North Bend Way, North Bend, WA 98045 | 2011-04-29 |
| 1922309186 | John Hammond Gower IIi | Mechanotherapist | 12622 412th Se Ave, North Bend, WA 98045 | 2010-11-04 |
| 1508194879 | Leanne Bruner | Contractor | 410 E. North Bend Way, North Bend, WA 98045 | 2009-11-25 |
| 1649456344 | Frankie Eugene Orr | Massage Therapist | 113 Bendigo Blvd. N, Unit-c, North Bend, WA 98045 | 2008-01-14 |
| 1285826537 | Steven L. Paige | Dentist | 6015 Capitol Blvd, Tumwater, WA 98045 | 2007-08-10 |
| 1689865339 | The Snoqualmie Tribe | Clinic/Center | 404 Main Avenue South, North Bend, WA 98045 | 2007-08-07 |
| 1760695142 | Nancy J Coltom | Massage Therapist | 249 Main Ave, Suite B, North Bend, WA 98045 | 2007-05-08 |
| Find all providers in zip 98045 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1578057337 | Regenerative Medicine Northwest | Clinic/Center | 1260 116th Ave Ne Ste 200, Bellevue, WA 98004-3800 | 2018-06-15 |
| 1154837854 | Pacific Northwest Lactation, LLC | Clinic/Center | 708 S Cushman Ave, Tacoma, WA 98405-3625 | 2017-12-18 |
| 1275052458 | Peninsula Spine Institute, Ps | Clinic/Center | 804 Callahan Dr Ste A, Bremerton, WA 98310-3307 | 2017-09-19 |
| 1477097251 | Cynthia D Gray Md PC | Clinic/Center | 2101 Ne 139th St Ste 285, Vancouver, WA 98686-2326 | 2016-12-13 |
| 1811377484 | Knead To Heal, LLC | Clinic/Center | 2312 Rucker Ave, Everett, WA 98201-2723 | 2015-06-09 |
| 1699185348 | Duane Fredrick Hopp | Clinic/Center | 22612 126th Ave E, Graham, WA 98338-6725 | 2014-05-03 |
| 1689919292 | Poma Fertility, LLC | Clinic/Center | 12039 Ne 128th St Ste 110, Kirkland, WA 98034-3030 | 2012-12-07 |
| 1275888232 | Massage Mundo | Clinic/Center | 423 Eastlake Ave E, Seattle, WA 98109-5408 | 2012-07-16 |
| 1144536079 | 3-d Diagnostics, LLC | Clinic/Center | 2616 Yelm Hwy Se Ste A, Olympia, WA 98501-0800 | 2010-08-30 |
| Find all providers with the same taxonomy | ||||
| City | NORTH BEND |
| Zip Code | 98045 |
Please comment or provide details below to improve the information on SNOQUALMIE 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.