SQUAXIN ISLAND HEALTH CLINIC
NPI 1669532578
Clinic/Center in Shelton, WA
About Squaxin Island Health Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SQUAXIN ISLAND HEALTH CLINIC (NPI 1669532578) is a healthcare organization registered as a clinic/center in Shelton, Washington and active in the NPI registry since December 2006. The organization lists Edward J. Fox, Director Hhs, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
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)
Squaxin Island Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Squaxin Island Health Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
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 Squaxin Island Tribe's NPI number?
The NPI number for Squaxin Island Tribe is 1669532578. It was assigned to this organization in the NPPES registry on December 11, 2006. The provider is also known as Squaxin Island Health Clinic.
Where is Squaxin Island Tribe located?
Squaxin Island Tribe is located at 90 SE Klah Che Min Dr, Shelton, WA 98584. The listed phone number is (360) 427-9006.
What is Squaxin Island Tribe's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Squaxin Island Tribe enrolled in Medicare?
Yes. Squaxin Island Tribe is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Squaxin Island Tribe?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 5 Medicare specialties reassign their Medicare billing to Squaxin Island Tribe. 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 Mental Health Counselor (4), Nurse Practitioner (2) and Clinical Psychologist (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Squaxin Island Tribe accept?
Health plans from Ambetter Health list Squaxin Island Tribe 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 Squaxin Island Tribe was last updated on June 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Squaxin Island Health Clinic · NPI 1669532578
Clinic/Center organization in Shelton, Washington. Organization record, active in the CMS NPPES registry since December 11, 2006.
## Identity
- **NPI:** 1669532578 (Entity type: Organization)
- **Enumerated:** December 11, 2006
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** Squaxin Island Tribe
- **Organization subpart:** No
- **Authorized official:** Edward Fox, DIRECTOR HHS
## Practice location
- **Address:** 90 SE KLAH CHE MIN DR, Shelton, WA 98584-9216
- **Phone:** (360) 427-9006 · **Fax:** (360) 427-1951
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (4), Nurse Practitioner (2), Clinical Psychologist (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 17, 2008
- **Other identifiers:** Medicaid 7003767 (WA); Medicaid 7047772 (WA); Medicaid 1980994 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1669532578) · Data from the CMS NPPES public registry.