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SQUAXIN ISLAND HEALTH CLINIC
NPI 1669532578
Clinic/Center in Shelton, WA

Active since December 11, 2006
90 SE KLAH CHE MIN DR, SHELTON, WA 98584(360) 427-9006(360) 427-1951 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1669532578
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSQUAXIN ISLAND TRIBE
Location Address90 SE KLAH CHE MIN DRShelton, WA 98584-9216
Mailing Address90 Se Klah Che Min DrShelton, WA 98584-9216 · (360) 427-9006 · Fax (360) 427-1951
Phone(360) 427-9006
Fax(360) 427-1951
Organization SubpartNo
Authorized OfficialEdward J. FoxDirector Hhs · (360) 427-9006
Enumeration DateDecember 11, 2006
Last NPPES UpdateJune 17, 2008
✔ NPI 1669532578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
90 SE KLAH CHE MIN DR, Shelton, WA 98584
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Other Names 1

Other NameSquaxin Island Health Clinic

Other Identifiers 3

Medicaid7003767WA
Medicaid7047772WA
Medicaid1980994WA

Other Providers at the Same Location NPPES 19

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

SQUAXIN ISLAND DENTAL CLINIC ENCOUNTER
Clinic/Center (Dental)
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Mason County (360) 427-9006
MS. PAMELA LYNN PETERS RN
Registered Nurse
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Mason County (360) 427-9006
NISSAN ARMAS PA-C
Physician Assistant
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Mason County (360) 427-9006
SQUAXIN ISLAND MEDICAID ENCOUNTER
Clinic/Center
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Mason County (360) 427-9006
MISS SUSAN ROWSON MA
Counselor
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Mason County (360) 432-3896
BRENDA DORSEY MSW, LMHC
Counselor (Mental Health)
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Mason County (360) 432-3921
SQUAXIN ISLAND DENTAL CLINIC FFS
Clinic/Center (Dental)
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Mason County (360) 427-9006
JONATHAN CORBIN WILTON M.D.
Family Medicine
90 SE KLAH CHE MIN DR
SHELTON, WA 98584
Mason County (360) 427-9006

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.

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.