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COWLITZ INDIAN TRIBAL HEALTH SERVICES
NPI 1740562909
Clinic/Center in Longview, WA

Active since September 14, 2011
1044 11TH AVE, LONGVIEW, WA 98632(360) 575-8275(360) 575-1948 Get Directions Write a Review

NPPES record last updated: March 22, 2018. Verified against the NPPES registry weekly; last sync: July 26, 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 1740562909) is a healthcare organization registered as a clinic/center in Longview, Washington and active in the NPI registry since September 2011. The organization lists Shavon Keller, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1740562909
Entity TypeOrganization
Primary Taxonomy261Q00000X
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) 575-1948
Organization SubpartNo
Authorized OfficialShavon KellerBilling Supervisor · (360) 353-9431
Enumeration DateSeptember 14, 2011
Last NPPES UpdateMarch 22, 20183 updates tracked since enumeration
✔ NPI 1740562909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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).
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

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
COWLITZ INDIAN TRIBE
Clinic/Center (Primary Care)
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

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 1740562909. It was assigned to this organization in the NPPES registry on September 14, 2011. 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 with taxonomy code 261Q00000X.

When was this NPI record last updated?

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