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

Active since May 04, 2007CLIA 50D0878259 · Microscopy
2373 OLD TOKELAND RD, TOKELAND, WA 98590(360) 267-8103(360) 267-1437 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shoalwater Bay Tribal Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHOALWATER BAY TRIBAL CLINIC (NPI 1003028952) is a healthcare organization registered as a dental in Tokeland, Washington and active in the NPI registry since May 2007. The organization holds a CLIA Microscopy certificate valid through October 20, 2027 and lists Carol Johnson, Tribal Administrator, as its authorized official.

NPPES Registry Identity

NPI1003028952
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSHOALWATER BAY INDIAN TRIBE
Location Address2373 OLD TOKELAND RDTokeland, WA 98590
Mailing AddressPo Box 500Tokeland, WA 98590-0500 · (360) 267-0119 · Fax (360) 267-0417
Phone(360) 267-8103
Fax(360) 267-1437
Organization SubpartNo
Authorized OfficialCarol JohnsonTribal Administrator · (360) 267-6766
Enumeration DateMay 4, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1003028952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2373 OLD TOKELAND RD, Tokeland, WA 98590
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Other Names 1

Doing Business AsShoalwater Bay Tribal Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D0878259

Shoalwater Bay Tribal Clinic · Tokeland, WA
Active · expires Oct 20, 2027
CLIA Number50D0878259
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 21, 2025
Certificate Expiration DateOctober 20, 2027
Laboratory DirectorDr. Johnny S. Bell
Laboratory Phone(360) 267-0119
Laboratory LocationShoalwater Bay Tribal Clinic2373 Old Tokeland Rd PO Box 500, Tokeland, WA 98590
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHOALWATER BAY TRIBE
Clinic/Center (Primary Care)
2373 OLD TOKELAND RD
TOKELAND, WA 98590
Pacific County (360) 267-0119
SHOALWATER BAY INDIAN TRIBE
Community/Behavioral Health
2373 OLD TOKELAND RD
TOKELAND, WA 98590
Pacific County (360) 267-3408
SHOALWATER BAY INDIAN TRIBE
Clinic/Center (Federally Qualified Health Center (FQHC))
2373 OLD TOKELAND RD
TOKELAND, WA 98590
Pacific County (360) 267-0119
SHOALWATER BAY INDIAN TRIBE
Clinic/Center (Mental Health (Including Community Mental Health Center))
2373 OLD TOKELAND RD
TOKELAND, WA 98590
Pacific County (360) 267-2508
DR. GREGORY DALE CEBULLA DDS
Dentist (General Practice)
2373 OLD TOKELAND RD
TOKELAND, WA 98590
Pacific County (360) 267-8103
MRS. PAMELA J KORZENIOWSKI PAC
Physician Assistant (Medical)
2373 OLD TOKELAND RD
TOKELAND, WA 98590
Pacific County (360) 267-0119
MS. JEANNE PAUL LMFT
Marriage & Family Therapist
2373 OLD TOKELAND RD
TOKELAND, WA 98590
Pacific County (360) 267-2508

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shoalwater Bay Indian Tribe's NPI number?

The NPI number for Shoalwater Bay Indian Tribe is 1003028952. It was assigned to this organization in the NPPES registry on May 4, 2007. The provider is doing business as Shoalwater Bay Tribal Clinic.

Where is Shoalwater Bay Indian Tribe located?

Shoalwater Bay Indian Tribe is located at 2373 Old Tokeland Rd, Tokeland, WA 98590. The listed phone number is (360) 267-8103.

What is Shoalwater Bay Indian Tribe's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Does Shoalwater Bay Indian Tribe hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D0878259) is associated with this NPI, valid through October 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Shoalwater Bay Indian Tribe accept?

Health plans from UnitedHealthcare list Shoalwater Bay Indian Tribe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shoalwater Bay Indian Tribe was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.