SILETZ COMMUNITY HEALTH CLINIC
NPI 1316040249
Clinic/Center - Federally Qualified Health Center (FQHC) in Siletz, OR

Active since September 06, 2006
200 GWEE-SHUT RD, SILETZ, OR 97380(541) 444-1030(541) 444-9695 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 21, 2022, Nov 10, 2020, Dec 21, 2017 and 1 more (4 updates tracked since 2017).

About Siletz Community Health Clinic NPPES

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

SILETZ COMMUNITY HEALTH CLINIC (NPI 1316040249) is a healthcare organization registered as a federally qualified health center (fqhc) in Siletz, Oregon and active in the NPI registry since September 2006. The organization lists Miranda Williams, Health Director, as its authorized official.

NPPES Registry Identity

NPI1316040249
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCONFEDERATED TRIBES OF SILETZ
Location Address200 GWEE-SHUT RDSiletz, OR 97380-2036
Mailing AddressPo Box 320Siletz, OR 97380-0320 · (541) 444-1030 · Fax (541) 444-9695
Fax(541) 444-9695
Organization SubpartNo
Authorized OfficialMiranda WilliamsHealth Director · (541) 444-1030
Enumeration DateSeptember 6, 2006
Last NPPES UpdateSeptember 21, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2022
✔ NPI 1316040249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in OR · 169841
Also ListedCase ManagementTaxonomy 251B00000X
200 GWEE-SHUT RD, Siletz, OR 97380

Other Names 1

Doing Business AsSiletz Community Health Clinic

Other Identifiers 1

Medicaid169841OR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Siletz Community Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Siletz Community Health Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Nurse Practitioner7
Clinical Social Worker2
Internal Medicine2
Emergency Medicine1
Family Practice1
Optometry1

Clinicians, nearest first (14)

Nurse Practitioner
NPI 1265474316
200 GWEE-SHUT ROAD
Siletz, OR 97380
(541) 444-1030
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1033101324
200 GWEE SHUT RD
Siletz, OR 97380
(541) 444-1030
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1588775092
200 GWEE SHUT RD
Siletz, OR 97380
(541) 444-1030
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1952403990
200 GWEE-SHUT ROAD
Siletz, OR 97380
(541) 444-1030
✔ PECOS✔ Accepts Medicare0.7 mi
Family Practice
NPI 1487705810
200 GWEE SHUT RD
Siletz, OR 97380
(541) 444-1030
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1497462329
200 GWEE SHUT RD
Siletz, OR 97380
(541) 444-9665
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1982030458
200 GWEE-SHUT ROAD
Siletz, OR 97380
(541) 444-1030
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1982142998
200 GWEE SHUT RD
Siletz, OR 97380
(541) 444-1030
✔ PECOS✔ Accepts Medicare0.8 mi
Emergency Medicine
NPI 1477961308
930 SW ABBEY ST
Newport, OR 97365
(541) 265-2244
✔ PECOS✔ Accepts Medicare9.4 mi
Clinical Social Worker
NPI 1790990224
608 LANCASTER DR SE
Salem, OR 97317
(503) 877-1995
✔ PECOS✔ Accepts Medicare48 mi
Nurse Practitioner
NPI 1316211469
840 E HILL AVE
Moses Lake, WA 98837
(509) 663-8711
✔ PECOS✔ Accepts Medicare279 mi
Optometry
NPI 1598343105
1497 ALCATRAZ AVE
Berkeley, CA 94702
(510) 433-1150
✔ PECOS✔ Accepts Medicare482 mi
Nurse Practitioner
NPI 1134371917
4141 TOWNSHIP ROAD 223 SE
New Lexington, OH 43764
(740) 342-4334
✔ PECOS✔ Accepts Medicare2,145 mi
Clinical Social Worker
NPI 1285269563
PO BOX 1034
Koloa, HI 96756
(808) 353-1886
✔ PECOS✔ Accepts Medicare2,555 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Confederated Tribes Of Siletz's NPI number?

The NPI number for Confederated Tribes Of Siletz is 1316040249. It was assigned to this organization in the NPPES registry on September 6, 2006. The provider is doing business as Siletz Community Health Clinic.

Where is Confederated Tribes Of Siletz located?

Confederated Tribes Of Siletz is located at 200 Gwee-Shut Rd, Siletz, OR 97380. The listed phone number is (541) 444-1030.

What is Confederated Tribes Of Siletz's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Confederated Tribes Of Siletz enrolled in Medicare?

Yes. Confederated Tribes Of Siletz is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Confederated Tribes Of Siletz?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 6 Medicare specialties reassign their Medicare billing to Confederated Tribes Of Siletz. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (7), Clinical Social Worker (2) and Internal Medicine (2). Of these, 3 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Confederated Tribes Of Siletz accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon and UnitedHealthcare list Confederated Tribes Of Siletz 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 Confederated Tribes Of Siletz was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.