COWLITZ TRIBAL HEALTH SERVICES
NPI 1225382328
Preventive Medicine - Public Health & General Preventive Medicine in Tukwila, WA
NPI Status: Active since October 29, 2012
Contact Information
15455 65TH AVE S
TUKWILA, WA
ZIP 98188
Phone: (206) 721-5170
Fax: (206) 721-6288
- Organization
- Preventive Medicine
- Public Health & General Preventive Medic...
- CLIA Number: 50D2325806
- CLIA Cert. Type: Other - TRIBAL BHA
- CLIA Exp. Date: 04-04-2028
About COWLITZ TRIBAL HEALTH SERVICES
This page provides the complete NPI Profile along with additional information for Cowlitz Tribal Health Services, a provider established in Tukwila, Washington operating as a Preventive Medicine, focusing in public health & general preventive medicine . The healthcare provider is registered in the NPI registry with number 1225382328 assigned on October 2012. The practitioner's primary taxonomy code is 2083P0901X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Cowlitz Tribal Health Services. The authorized official of this NPI record is Shavon Keller (Billing Supervisor)
- NPI
- 1225382328
- Provider Legal Name
- COWLITZ INDIAN TRIBE
- Other Organization Name
- COWLITZ TRIBAL HEALTH SERVICES
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 15455 65TH AVE S TUKWILA, WA 98188
- Location Phone
- (206) 721-5170
- Location Fax
- (206) 721-6288
- Mailing Address
- PO BOX 2429 LONGVIEW, WA 98632
- Mailing Phone
- (206) 721-5170
- Mailing Fax
- (206) 721-6288
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-29-2012
- Last Update Date
- 02-03-2023
- Code Navigator
Location Map
Secondary Locations
- 6450 Southcenter Blvd
Tukwila, WA 98188
(206) 721-5170 - 1000 Davis Pl
DuPont, WA 98327
(206) 721-5170
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
Preventive Medicine Public Health & General Preventive Medicine
- Taxonomy Code
- 2083P0901X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center | |
| 3 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 50D2325806
- Facility Type
- Other - TRIBAL BHA
- Certificate Effective Date
- June 20, 2025
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- AMOS CHEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Cowlitz Tribal Health Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1225382328, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
TUKWILA, WA 98188
TUKWILA, WA 98188
TUKWILA, WA 98188
TUKWILA, WA 98188
TUKWILA, WA 98188
TUKWILA, WA 98188
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225382328, enumerated as an "organization" on October 29, 2012.
The provider is located at 15455 65TH AVE S TUKWILA, WA 98188 and the phone number is (206) 721-5170.
Preventive Medicine with taxonomy code 2083P0901X and a focus in Public Health & General Preventive Medicine.
