NORTHWEST INDIAN TREATMENT CENTER


Address: 100 Se Whitener Rd, Shelton, WA 98584-7747
Phone: 3604701474

NORTHWEST INDIAN TREATMENT CENTER (NPI# 1669508537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669508537
Entity Type Organization
Organization Name NORTHWEST INDIAN TREATMENT CENTER
Practice Address 100 Se Whitener Rd
Shelton
WA 98584-7747
Mailing Address 308 E. Young St.
Box 477
Elma
WA 98541
Practice Telephone 3604701474
Enumeration Date 2007-02-26
Last Update Date 2020-08-22
Authorized Official Name JUNE O'BRIEN (DIRECTOR)
Authorized Official Telephone 3604701474
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center 23037400 WA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WA 1981026 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1588747059 Northwest Indian Treatment Center Substance Abuse Rehabilitation Facility 308 E. Young Street, Box 477, Elma, WA 98541 2006-10-20
1215063169 Northwest Indian Treatment Center Clinic/Center 100 Se Whitener Rd, Shelton, WA 98584-7747 2007-02-26

Office Location

Street Address 100 SE WHITENER RD
City SHELTON
State WA
Zip Code 98584-7747

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326683921 Sheena Kaas Counselor 100 Se Whitener Rd, Shelton, WA 98584-7747 2019-11-07
1649673302 Cheryl Deane Campbell Counselor 100 Se Whitener Rd, Shelton, WA 98584-7747 2014-10-08
1982908745 Christine Semanko Counselor 100 Se Whitener Rd, Shelton, WA 98584-7747 2011-01-07
1154630531 Linda Gaye Barker Counselor 100 Se Whitener Rd, Shelton, WA 98584-7747 2010-10-01
1518276591 Gregry Wayne Twiddy Counselor 100 Se Whitener Rd, Shelton, WA 98584-7747 2010-09-24
1336468263 Joan Gary Clark Counselor 100 Se Whitener Rd, Shelton, WA 98584-7747 2010-05-17
1740407485 Angie M Chambers Counselor 100 Se Whitener Rd, Shelton, WA 98584-7747 2007-04-20
1215063169 Northwest Indian Treatment Center Clinic/Center 100 Se Whitener Rd, Shelton, WA 98584-7747 2007-02-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023627478 Ashley Maria Elena Armstrong Counselor 307 W Cota St Shelton, Shelton, WA 98584 2020-07-30
1962011015 Perry Philemon Little IIi Dentist 503 N 4th St, Shelton, WA 98584 2020-07-24
1588215271 Rebecca Lynn Adams Counselor 601 West Franklin St, Shelton, WA 98584 2019-09-24
1366939670 Robbie Chandler Social Worker 807 West Pine, Shelton, WA 98584 2018-04-23
1831603075 Fir Lane Health-shelton,llc Skilled Nursing Facility 2430 North 13th St, Shelton, WA 98584 2017-11-27
1306361738 Christine Lee Woods Counselor 58150 E. 66th Road, Miami, OK 98584 2017-08-07
1174063051 Claudette V. Selkridge Counselor 1620 N. Olympic Hwy, Shelton, WA 98584 2017-02-27
1003278755 Edward Charles Herman Social Worker 50 Se Bluff Loop Rd., Shelton, WA 98584 2016-03-22
1023497310 Darren Cuevas Family Medicine 939 Mountain View Dr Ste 100, Shelton, WA 98584 2015-05-20
1639572977 Thomas Vincent Phung Duffy Dentist 717 W. Railroad Ave., Shelton, WA 98584 2014-10-01
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669532578 Squaxin Island Tribe Clinic/Center 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 2006-12-11
1306275409 Public Hospital District No 1 of Mason County Clinic/Center 221 Professional Way, Shelton, WA 98584-4404 2013-11-08
1821427527 Public Hospital District No 1 of Mason County Clinic/Center 237 Professional Way, Shelton, WA 98584-4404 2013-11-04
1548699408 Public Hospital District No 1 of Mason County Clinic/Center 24261 North Us Highway 101, Shelton, WA 98548-0279 2013-11-01
1679803126 Public Hospital District No 1 of Mason County Clinic/Center 2300 Kati Ct, Suite A, Shelton, WA 98584-1900 2010-01-06
1316174774 Public Hospital District No 1 of Mason County Wa Clinic/Center 2300 Kati Ct, Suite A, Shelton, WA 98584-1900 2009-06-12
1114135779 Squaxin Island Medicaid Encounter Clinic/Center 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 2007-05-18
1215063169 Northwest Indian Treatment Center Clinic/Center 100 Se Whitener Rd, Shelton, WA 98584-7747 2007-02-26

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1699376152 Seattle Vision Therapy and Rehabilitation Center, Pllc Clinic/Center 13344 1st Ave Ne Ste 101, Seattle, WA 98125-3059 2020-11-02
1942811211 Little Fin Therapies, LLC Clinic/Center 5942 31st Ave Sw, Seattle, WA 98126-2910 2020-08-11
1578187829 Therapy Northwest Pllc Clinic/Center 310 3rd Ave Ne Ste 124, Issaquah, WA 98027-3350 2020-06-02
1922621721 Riaz Pllc Clinic/Center 8378 W Grandridge Blvd Ste 110, Kennewick, WA 99336-5401 2020-05-27
1295356848 Community Health Care Clinic/Center 16329 Se 318th St, Auburn, WA 98092-9284 2020-05-05
1720617533 Nova Mind-body LLC Clinic/Center 116 13th Ave E Apt 1e, Seattle, WA 98102-6142 2020-04-03
1609403054 Lavender Luxe Massage Clinic/Center 100 3rd St Ste 100, Davenport, WA 99122-5008 2020-03-25
1417582255 Personalized Health, LLC Clinic/Center 7136 Mlk Jr Way S Ste 204, Seattle, WA 98118-3526 2020-03-11
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Competitor

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City SHELTON
Zip Code 98584

Improve Information

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Dataset Information

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.

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