NISQUALLY TRIBE NPI 1003008558

Clinic/Center in Olympia, WA

NPI 1003008558 Organization Clinic/Center

NPI Profile for NISQUALLY TRIBE

Nisqually Tribe is a provider established in Olympia, Washington specializing in clinic/center. The NPI number of Nisqually Tribe is 1003008558 and was assigned on August 2007. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Ms. Rena Wells (Health Director)

NPI

1003008558

Provider NameNISQUALLY TRIBE
Provider Location Address4816 SHE NAH NUM DR SE OLYMPIA, WA 98513
Provider Mailing Address4816 SHE NAH NUM DR SE OLYMPIA, WA 98513
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date08-17-2007
Last Update Date08-17-2007


Primary Taxonomy

Taxonomy Code261Q00000X
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).

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



Authorized Official

Authorized Official NameMS. RENA WELLS
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

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003008558
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030016510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 1 + 6 + 5 + 1 + 0 + 24 = 42
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 42 = 88

The NPI number 1003008558 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
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
1790907582MR. JOHN HUANGSEN CHIU PA
Individual
Physician Assistant4816 SHE NAH NUM DR SE
OLYMPIA, WA 98513
(360) 459-5312
1184815524NISQUALLY TRIBE HEALTH CLINIC
Organization
Clinic/Center4816 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
1467644914NISQUALLY TRIBE
Organization
Clinic/Center4816 SHE NAH NUM DR SE
OLYMPIA, WA 98513
(360) 459-5312
1477745925NISQUALLY INDIAN TRIBE
Organization
Clinic/Center4816 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
1467612440 RONI ANN RAVE CDP
Individual
Specialist4816 SHE NAH NUM DR SE
OLYMPIA, WA 98513
(360) 459-5312
1023245149MRS. JENNIFER L CALDWELL-HOSKINS CDP
Individual
Counselor (Addiction (Substance Use Disorder))4816 SHE NAH NUM DR SE
OLYMPIA, WA 98513
(360) 456-5221
1992938575MR. SCOT L METCALFE CDP
Individual
Counselor (Addiction (Substance Use Disorder))4816 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
1790190858 CYNTHIA GALLEGOS
Individual
Registered Nurse4816 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
1356715882MS. ANITA FRANCES TORRES BA-CDP
Individual
Counselor (Addiction (Substance Use Disorder))4816 SHE NAH NUM DR SE
OLYMPIA, WA 98513
(360) 413-2727
1205382504DR. RICHELLE KISTLER PHARMD
Individual
Pharmacist4816 SHE NAH NUM DR SE
OLYMPIA, WA 98513
(253) 472-5325
1508161050DR. DIANE R BARRES RPH PHARMD
Individual
Pharmacist4816 SHE NAH NUM DR SE
OLYMPIA, WA 98513
(360) 459-5312

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider 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 Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Nisqually Tribe is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type 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)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary 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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.