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PORT GAMBLE S'KLALLAM TRIBE
NPI 1518585579
Clinic/Center - Federally Qualified Health Center (FQHC) in Kingston, WA

Active since July 07, 2020
32014 LITTLE BOSTON RD NE, KINGSTON, WA 98346(360) 297-9614(360) 297-9614 Get Directions Write a Review

NPPES record last updated: July 7, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Port Gamble S'klallam Tribe NPPES

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

PORT GAMBLE S'KLALLAM TRIBE (NPI 1518585579), doing business as Tribal Medicaid Fqhc, is a healthcare organization registered as a federally qualified health center (fqhc) in Kingston, Washington and active in the NPI registry since July 2020. The organization lists Kerstin M Powell, Health Services Business Manager, as its authorized official.

NPPES Registry Identity

NPI1518585579
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePORT GAMBLE S'KLALLAM TRIBE
Location Address32014 LITTLE BOSTON RD NEKingston, WA 98346-9734
Mailing Address32020 Little Boston Rd NeKingston, WA 98346-9734 · (360) 297-9614
Phone(360) 297-9614
Fax(360) 297-9614
Organization SubpartYes
Authorized OfficialKerstin M PowellHealth Services Business Manager · (360) 297-9649
Enumeration DateJuly 7, 2020
NPPES CertifiedJuly 7, 2020
✔ NPI 1518585579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
32014 LITTLE BOSTON RD NE, Kingston, WA 98346
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Other Names 1

Doing Business AsTribal Medicaid Fqhc

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.

ANN C BEST RN
Registered Nurse (Community Health)
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Kitsap County (360) 297-9601
DR. BRUCE J PATCHEN DDS
Dentist
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Kitsap County (360) 297-9601
PORT GAMBLE S'KLALLAM ORCA PRIDE
Clinic/Center (Rehabilitation, Substance Use Disorder)
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Kitsap County (360) 297-9601
TAMMY L SULLIVAN CHR
Technician
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Kitsap County (360) 297-9601
JOHN S PAUL DDS
Dentist
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Kitsap County (360) 297-9601
PORT GAMBLE S'KLALLAM MENTAL HEALTH
Clinic/Center (Mental Health (Including Community Mental Health Center))
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Kitsap County (360) 297-9601
DANIEL M BREWER MA PSYCHOLOGY
Counselor (Mental Health)
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Kitsap County (360) 297-9601
JUDY L HESSLER LMC
Counselor (Mental Health)
32014 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Kitsap County (360) 297-9601

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 Port Gamble S'klallam Tribe's NPI number?

The NPI number for Port Gamble S'klallam Tribe is 1518585579. It was assigned to this organization in the NPPES registry on July 7, 2020. The provider is doing business as Tribal Medicaid FQHC.

Where is Port Gamble S'klallam Tribe located?

Port Gamble S'klallam Tribe is located at 32014 Little Boston Rd NE, Kingston, WA 98346. The listed phone number is (360) 297-9614.

What is Port Gamble S'klallam Tribe's specialty?

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

When was this NPI record last updated?

The NPPES record for Port Gamble S'klallam Tribe was last updated on July 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.