NISQUALLY TRIBE NPI 1003008558

Clinic/Center in Olympia, WA

About NISQUALLY TRIBE

Nisqually Tribe is a provider in Olympia, WA. The NPI number assigned to this provider is 1003008558. The practitioner's primary taxonomy code is Clinic/Center (261Q00000X). The provider is registered as an organization and their NPI record was last updated 10 years ago.

NPI1003008558 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameNISQUALLY TRIBE
Provider Location Address4816 SHE NAH NUM DR SE OLYMPIA, WA 98513 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address4816 SHE NAH NUM DR SE OLYMPIA, WA 98513 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date08-17-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date08-17-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

NISQUALLY TRIBE
4816 SHE NAH NUM DR SE
OLYMPIA, WA
ZIP 98513
Phone: (360) 459-5312
Fax: (360) 407-0860
Get Directions

Mailing Address

NISQUALLY TRIBE
4816 SHE NAH NUM DR SE
OLYMPIA, WA
ZIP 98513
Phone: (360) 459-5312
Fax: (360) 407-0860

Primary Taxonomy

Taxonomy Code261Q00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
License StateWA
Taxonomy DescriptionA 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).

Authorized Official

Authorized Official NameMS. RENA WELLS Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleHEALTH DIRECTOR
Authorized Official Phone(360) 459-5312

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
5400080MEDICAID (05)WA

Map Location


NISQUALLY TRIBE address is 4816 SHE NAH NUM DR SE OLYMPIA, WA 98513

Other Providers at the same location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023245149MRS. JENNIFER L CALDWELL-HOSKINS CDP
Individual
Counselor (Addiction (Substance Use Disorder))4816 SHE NAH NUM DR SE
OLYMPIA, WA 98513
(360) 456-5221
1184815524NISQUALLY TRIBE HEALTH CLINIC
Organization
Clinic/Center4816 SHE NAH NUM DR SE
OLYMPIA, WA 98513
(360) 459-5312
1205382504DR. RICHELLE KISTLER PHARMD
Individual
Pharmacist4816 SHE NAH NUM DR SE
OLYMPIA, WA 98513
(253) 472-5325
1215324918 ROBERT RODGERS CDP
Individual
Counselor (Addiction (Substance Use Disorder))4816 SHE NAH NUM DR SE
OLYMPIA, WA 98513
(360) 413-2727
1215934054 ALISON J SPENCER MD
Individual
Family Medicine4816 SHE NAH NUM DR SE
OLYMPIA, WA 98513
(360) 459-5312
1295887461 ELIZABETH H SIEGEL ARNP
Individual
Nurse Practitioner (Family)4816 SHE NAH NUM DR SE
OLYMPIA, WA 98513
(360) 459-5312
1356715882MS. ANITA FRANCES TORRES BA-CDP
Individual
Counselor (Addiction (Substance Use Disorder))4816 SHE NAH NUM DR SE
OLYMPIA, WA 98513
(360) 413-2727
1467612440 RONI ANN RAVE CDP
Individual
Specialist4816 SHE NAH NUM DR SE
OLYMPIA, WA 98513
(360) 459-5312
1467644914NISQUALLY TRIBE
Organization
Clinic/Center4816 SHE NAH NUM DR SE
OLYMPIA, WA 98513
(360) 459-5312
1467857573 FRANCIS CACLDA
Individual
Clinic/Center (Adult Mental Health)4816 SHE NAH NUM DR SE
OLYMPIA, WA 98513
(360) 413-2727
1477745925NISQUALLY INDIAN TRIBE
Organization
Clinic/Center4816 SHE NAH NUM DR SE
OLYMPIA, WA 98513
(360) 459-5312
1508161050DR. DIANE R BARRES RPH PHARMD
Individual
Pharmacist4816 SHE NAH NUM DR SE
OLYMPIA, WA 98513
(360) 459-5312
1558553008NISQUALLY TRIBE
Organization
Clinic/Center (Adult Mental Health)4816 SHE NAH NUM DR SE
OLYMPIA, WA 98513
(360) 459-5312
1790190858 CYNTHIA GALLEGOS
Individual
Registered Nurse4816 SHE NAH NUM DR SE
OLYMPIA, WA 98513
(360) 459-5312
1790907582MR. JOHN HUANGSEN CHIU PA
Individual
Physician Assistant4816 SHE NAH NUM DR SE
OLYMPIA, WA 98513
(360) 459-5312
1912199464NISQUALLY TRIBE
Organization
Clinic/Center4816 SHE NAH NUM DR SE
OLYMPIA, WA 98513
(360) 459-5312
1952623027NISQUALLY INDIAN TRIBE
Organization
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy4816 SHE NAH NUM DR SE
OLYMPIA, WA 98513
(360) 459-5312
1992938575MR. SCOT L METCALFE CDP
Individual
Counselor (Addiction (Substance Use Disorder))4816 SHE NAH NUM DR SE
OLYMPIA, WA 98513
(360) 459-5312