SHOALWATER BAY TRIBAL CLINIC
NPI 1003028952
Clinic/Center - Dental in Tokeland, WA

NPI Status: Active since May 04, 2007

Contact Information

2373 OLD TOKELAND RD
TOKELAND, WA
ZIP 98590
Phone: (360) 267-8103
Fax: (360) 267-1437

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  • Organization
  • Clinic/Center
  • Dental

About SHOALWATER BAY TRIBAL CLINIC

Shoalwater Bay Tribal Clinic is a provider established in Tokeland, Washington operating as a Clinic/center with a focus in dental . The healthcare provider is registered in the NPI registry with number 1003028952 assigned on May 2007. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Shoalwater Bay Tribal Clinic. The authorized official of this NPI record is Ms. Carol Johnson (Tribal Administrator)

NPI
1003028952
Provider Legal Name
SHOALWATER BAY INDIAN TRIBE
Other Organization Name
SHOALWATER BAY TRIBAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2373 OLD TOKELAND RD TOKELAND, WA 98590
Location Phone
(360) 267-8103
Location Fax
(360) 267-1437
Mailing Address
PO BOX 500 TOKELAND, WA 98590
Mailing Phone
(360) 267-0119
Mailing Fax
(360) 267-1437
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
05-04-2007
Last Update Date
08-22-2020
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. CAROL JOHNSON

Authorized Official Title
TRIBAL ADMINISTRATOR
Authorized Official Phone
(360) 267-6766

Reviews for SHOALWATER BAY TRIBAL CLINIC

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NPI Validation Check Digit Calculation


The following table explains the step by step 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.
1003028952
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030216910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 2 + 1 + 6 + 9 + 1 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1003028952 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1689886475MRS. PAMELA J KORZENIOWSKI PAC
Individual
Physician Assistant (Medical)2373 OLD TOKELAND RD
TOKELAND, WA 98590
(360) 267-0119
1699987487MS. JEANNE PAUL LMFT
Individual
Marriage & Family Therapist2373 OLD TOKELAND RD
TOKELAND, WA 98590
(360) 267-2508
1679785463DR. GREGORY DALE CEBULLA DDS
Individual
Dentist (General Practice)2373 OLD TOKELAND RD
TOKELAND, WA 98590
(360) 267-8103
1063624740SHOALWATER BAY TRIBE
Organization
Clinic/Center (Primary Care)2373 OLD TOKELAND RD
TOKELAND, WA 98590
(360) 267-0119
1316159056SHOALWATER BAY INDIAN TRIBE
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))2373 OLD TOKELAND RD
TOKELAND, WA 98590
(360) 267-0119
1104038926SHOALWATER BAY INDIAN TRIBE
Organization
Community/Behavioral Health2373 OLD TOKELAND RD
TOKELAND, WA 98590
(360) 267-3408
1447462700SHOALWATER BAY INDIAN TRIBE
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))2373 OLD TOKELAND RD
TOKELAND, WA 98590
(360) 267-2508

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003028952, enumerated in the NPI registry as an "organization" on May 04, 2007

The provider is located at 2373 Old Tokeland Rd Tokeland, Wa 98590 and the phone number is (360) 267-8103

This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental

This NPI record was last updated on May 04, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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