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COWLITZ INDIAN TRIBAL HEALTH SERVICES
NPI 1346465101
Clinic/Center - Primary Care in Longview, WA

Active since April 16, 2007CLIA Certified · 2 labs
1044 11TH AVE, LONGVIEW, WA 98632(360) 575-8275(360) 575-1950 Get Directions Write a Review

NPPES record last updated: March 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 22, 2018, Mar 16, 2018, Jan 25, 2016 (3 updates tracked since 2016).

About Cowlitz Indian Tribal Health Services NPPES

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

COWLITZ INDIAN TRIBAL HEALTH SERVICES (NPI 1346465101) is a healthcare organization registered as a primary care in Longview, Washington and active in the NPI registry since April 2007. The organization holds 2 active CLIA laboratory certificates and lists Shavon Keller, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1346465101
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCOWLITZ INDIAN TRIBE
Location Address1044 11TH AVELongview, WA 98632-2506
Mailing AddressPo Box 2429Longview, WA 98632-8486 · (360) 575-8275 · Fax (360) 575-1950
Phone(360) 575-8275
Fax(360) 575-1950
Organization SubpartNo
Authorized OfficialShavon KellerBilling Supervisor · (360) 353-9431
Enumeration DateApril 16, 2007
Last NPPES UpdateMarch 22, 20183 updates tracked since enumeration
✔ NPI 1346465101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
1044 11TH AVE, Longview, WA 98632
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Other Names 1

Other NameCowlitz Indian Tribal Health Services

Other Identifiers 1

Medicaid7122898WA

CLIA Laboratory Certificates CMS CLIA 2

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 of Waiver 50D2069578

Cowlitz Indian Tribe · Longview, WA
Active · expires Apr 4, 2028
CLIA Number50D2069578
Laboratory TypeTribal Clinic
Certificate Effective DateNovember 27, 2013
Certificate Expiration DateApril 4, 2028
Laboratory DirectorLynelle Noisy Hawk
Laboratory Phone(360) 575-8275
Laboratory LocationCowlitz Indian Tribe1044 11th Ave, Longview, WA 98632
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D2126754

Cowlitz Indian Tribal Health Clinic · Longview, WA
Active · expires Apr 4, 2028
CLIA Number50D2126754
Laboratory TypePhysician Office
Certificate Effective DateMarch 3, 2017
Certificate Expiration DateApril 4, 2028
Laboratory DirectorLynelle Noisy Hawk
Laboratory Phone(360) 575-8275
Laboratory LocationCowlitz Indian Tribal Health Clinic1044 11th Ave, Longview, WA 98632
CLIA data matches this NPI record on: Address 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 20

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

LORI DAVIS RYAN ARNP
Nurse Practitioner (Family)
1044 11TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 575-8275
CELIA DELANEY MA
Counselor (Mental Health)
1044 11TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 353-9431
SUSAN E HATHER CDPT
Counselor (Addiction (Substance Use Disorder))
1044 11TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 575-8275
STEPHANIE DUNNIGAN CDPT
Counselor (Addiction (Substance Use Disorder))
1044 11TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 575-8275
ELISABETH ANNE HANSEN FNP-C
Nurse Practitioner (Family)
1044 11TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 575-8275
COURTNEY MICHELLE ENGLAND RN
Registered Nurse
1044 11TH AVE
LONGVIEW, WA 98632
Cowlitz County (363) 575-8275
MRS. CHEYNEY WEBB LINDGREN ARNP
Nurse Practitioner (Family)
1044 11TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 575-8275
SYBIL M IVERSON CDP
Counselor (Addiction (Substance Use Disorder))
1044 11TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 575-3316

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 Cowlitz Indian Tribe's NPI number?

The NPI number for Cowlitz Indian Tribe is 1346465101. It was assigned to this organization in the NPPES registry on April 16, 2007. The provider is also known as Cowlitz Indian Tribal Health Services.

Where is Cowlitz Indian Tribe located?

Cowlitz Indian Tribe is located at 1044 11th Ave, Longview, WA 98632. The listed phone number is (360) 575-8275.

What is Cowlitz Indian Tribe's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Cowlitz Indian Tribe hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Cowlitz Indian Tribe was last updated on March 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.