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SHOALWATER BAY TRIBAL CLINIC
NPI 1104038926
Community/Behavioral Health in Tokeland, WA

Active since May 04, 2007
2373 OLD TOKELAND RD, TOKELAND, WA 98590(360) 267-3408(360) 267-1127 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 1104038926) is a healthcare organization registered as a community/behavioral health in Tokeland, Washington and active in the NPI registry since May 2007. The organization lists Carol Johnson, Tribal Admistrator, as its authorized official.

NPPES Registry Identity

NPI1104038926
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSHOALWATER BAY INDIAN TRIBE
Location Address2373 OLD TOKELAND RDTokeland, WA 98590
Mailing AddressPo Box 500Tokeland, WA 98590-0500 · (360) 267-3408 · Fax (360) 267-1127
Phone(360) 267-3408
Fax(360) 267-1127
Organization SubpartNo
Authorized OfficialCarol JohnsonTribal Admistrator · (360) 267-6766
Enumeration DateMay 4, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104038926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2373 OLD TOKELAND RD, Tokeland, WA 98590
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Other Names 1

Doing Business AsShoalwater Bay Tribal Clinic

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 INDIAN TRIBE
Clinic/Center (Dental)
2373 OLD TOKELAND RD
TOKELAND, WA 98590
Pacific County (360) 267-8103
SHOALWATER BAY TRIBE
Clinic/Center (Primary Care)
2373 OLD TOKELAND RD
TOKELAND, WA 98590
Pacific County (360) 267-0119
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 1104038926. 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) 267-3408.

What is Shoalwater Bay Indian Tribe's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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.