PUYALLUP TRIBAL HEALTH AUTHORITY (NPI# 1689709172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689709172 |
| Entity Type | Organization |
| Organization Name | PUYALLUP TRIBAL HEALTH AUTHORITY |
| Other Organization Name | PUYALLUP TRIBAL HEALTH AUTHORITY |
| Practice Address |
2209 E 32nd St Tacoma WA 98404 |
| Mailing Address |
2209 E 32nd St Tacoma WA 98404-4922 |
| Practice Telephone | 2535930232 |
| Practice Fax Number | 2533822091 |
| Mailing Telephone | 2535930232 |
| Mailing Fax Number | 2533822091 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2018-07-13 |
| Authorized Official Name | CHRIS HENRY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2535930232 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | WA | Residential Treatment Facilities | |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | OPTIONS OUTPT | 366486004 | 01 |
| WA | 1990456 | 05 | |
| WA | REGENCE | PU6550 | 01 |
| WA | 1980762 | 05 | |
| WA | OPTIONS INPT | 366486003 | 01 |
| Other Name | Type Code |
|---|---|
| PUYALLUP TRIBAL HEALTH AUTHORITY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255378782 | Puyallup Tribal Health Authority | Clinic/Center | 2209 E 32nd St, Tacoma, WA 98404 | 2006-06-01 |
| 1659406171 | Puyallup Tribal Health Authority | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2209 E 32nd St, Tacoma, WA 98404 | 2007-02-23 |
| 1063455665 | Puyallup Tribal Health Authority | Clinic/Center | 2209 E 32nd St, Tacoma, WA 98404 | 2006-06-13 |
| Street Address |
2209 E 32ND ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255378782 | Puyallup Tribal Health Authority | Clinic/Center | 2209 E 32nd St, Tacoma, WA 98404 | 2006-06-01 |
| 1063038206 | Laura Christine Fox | Family Medicine | 2209 E 32nd St, Tacoma, WA 98404-4922 | 2020-06-23 |
| 1538783618 | Yuina Satoh | Family Medicine | 2209 E 32nd St, Tacoma, WA 98404-4922 | 2020-06-03 |
| 1144882879 | Theodore C Weatherwax | Family Medicine | 2209 E 32nd St, Tacoma, WA 98404-4922 | 2019-07-02 |
| 1497315592 | Daniel Joseph O'bryan | Family Medicine | 2209 E 32nd St, Tacoma, WA 98404-4922 | 2019-06-19 |
| 1922664424 | Arielle Jacob | Family Medicine | 2209 E 32nd St, Tacoma, WA 98404-4922 | 2019-05-10 |
| 1154987683 | Nicholas Snow | Family Medicine | 2209 E 32nd St, Tacoma, WA 98404-4922 | 2019-05-09 |
| 1063900280 | Hilary Ann Baer | Family Medicine | 2209 E 32nd St, Tacoma, WA 98404 | 2018-04-24 |
| 1659868131 | Andrew Ma | Family Medicine | 2209 E 32nd St, Tacoma, WA 98404-4922 | 2018-04-19 |
| 1184111817 | Megan S. Aspelund | Family Medicine | 2209 E 32nd St, Tacoma, WA 98404 | 2018-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386169829 | Brianna Lee Brown | Nurse's Aide | 1020 South 76th Street, Tacoma, WA 98404 | 2017-08-05 |
| 1770981045 | Tra My Thi Nguyen | Pharmacist | 4614 E N St, Tacoma, WA 98404 | 2014-12-18 |
| 1720419161 | Amber Gilderoy | Massage Therapist | 1101 E 56th St, Tacoma, WA 98404 | 2013-12-11 |
| 1295083756 | Stacy Marie Klontz | Physical Therapy Assistant | 1649 East 72nd St., Tacoma, WA 98404 | 2012-08-15 |
| 1215239892 | Kimberly Ida Sterling | Dental Hygienist | 247 E. 68th St., Tacoma, WA 98404 | 2010-12-02 |
| 1982923926 | Emily C Parry | Occupational Therapy Assistant | 1649 East 72nd Street, Tacoma, WA 98404 | 2010-05-28 |
| 1427386465 | Carole Lynne Hopkins | Physical Therapist | 1649 East 72nd St, Tacoma, WA 98404 | 2009-12-03 |
| 1417016056 | Jennifer Anne Decoteau | Social Worker | 2209 East 32nd St, Tacoma, WA 98404 | 2006-12-08 |
| 1518032374 | Agnes Barbara Kocsis | Psychiatry & Neurology | 2209 E.32nd Str, Tacoma, WA 98404 | 2006-11-21 |
| 1912924366 | Marthe Butzen | Physician Assistant | 1708 E. 44th Street, Tacoma, WA 98404 | 2006-07-15 |
| Find all providers in zip 98404 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275963613 | Grace Recovery Centers LLC | Clinic/Center | 10116 Portland Ave E, Tacoma, WA 98445-3954 | 2013-11-21 |
| 1235374737 | Al'ta Counseling | Clinic/Center | 5435 South 'm' Street, #103, Tacoma, WA 98408-3530 | 2008-12-11 |
| 1396223640 | Bayview Recovery LLC | Clinic/Center | 2156 Pacific Ave, Tacoma, WA 98402 | 2018-07-30 |
| 1720433089 | Royal Life Centers, LLC | Clinic/Center | 10116 Portland Ave E, Tacoma, WA 98445-3954 | 2016-04-25 |
| 1881084473 | A Change Counseling Center | Clinic/Center | 4002 S M St, Suite C, Tacoma, WA 98418-3800 | 2015-02-03 |
| 1245641083 | Janai Carraway | Clinic/Center | 2209 E 32nd St, Tacoma, WA 98404-4922 | 2014-05-14 |
| 1245545532 | Al'ta Counseling | Clinic/Center | 702 Broadway, Suite 102, Tacoma, WA 98402-3735 | 2010-08-11 |
| 1134381395 | Sea-mar Community Health Center | Clinic/Center | 1516 S 11th St, Tacoma, WA 98405-3332 | 2008-06-30 |
| 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 |
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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.