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SQUAXIN ISLAND TRIBE
NPI 1114135779
Clinic/Center in Shelton, WA

Active since May 18, 2007
90 SE KLAH CHE MIN DR, SHELTON, WA 98584(360) 427-9006 Get Directions Write a Review

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

About Squaxin Island Tribe NPPES

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

SQUAXIN ISLAND TRIBE (NPI 1114135779) is a healthcare organization registered as a clinic/center in Shelton, Washington and active in the NPI registry since May 2007. The organization lists Whitney Jones, Director, as its authorized official.

NPPES Registry Identity

NPI1114135779
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSQUAXIN ISLAND MEDICAID ENCOUNTER
Location Address90 SE KLAH CHE MIN DRShelton, WA 98584-9216
Mailing Address90 Se Klah Che Min DrShelton, WA 98584-9216 · (360) 427-9006
Phone(360) 427-9006
Organization SubpartNo
Authorized OfficialWhitney JonesDirector · (360) 427-9006
Enumeration DateMay 18, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1114135779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A 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).
90 SE KLAH CHE MIN DR, Shelton, WA 98584
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Other Names 1

Other NameSquaxin Island Tribe

Other Identifiers 1

Medicaid7003767WA

Other Providers at the Same Location NPPES 19

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

SQUAXIN ISLAND DENTAL CLINIC ENCOUNTER
Clinic/Center (Dental)
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Mason County (360) 427-9006
MS. PAMELA LYNN PETERS RN
Registered Nurse
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Mason County (360) 427-9006
NISSAN ARMAS PA-C
Physician Assistant
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Mason County (360) 427-9006
MISS SUSAN ROWSON MA
Counselor
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Mason County (360) 432-3896
BRENDA DORSEY MSW, LMHC
Counselor (Mental Health)
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Mason County (360) 432-3921
SQUAXIN ISLAND DENTAL CLINIC FFS
Clinic/Center (Dental)
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Mason County (360) 427-9006
JONATHAN CORBIN WILTON M.D.
Family Medicine
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Mason County (360) 427-9006
MRS. RACHEL HELENA ARMAS ARNP, FNP-C
Nurse Practitioner
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Mason County (360) 427-9006

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 Squaxin Island Medicaid Encounter's NPI number?

The NPI number for Squaxin Island Medicaid Encounter is 1114135779. It was assigned to this organization in the NPPES registry on May 18, 2007. The provider is also known as Squaxin Island Tribe.

Where is Squaxin Island Medicaid Encounter located?

Squaxin Island Medicaid Encounter is located at 90 SE Klah Che Min Dr, Shelton, WA 98584. The listed phone number is (360) 427-9006.

What is Squaxin Island Medicaid Encounter's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Squaxin Island Medicaid Encounter 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.