1. Home
  2. Directory
  3. Washington
  4. Toledo
  5. Clinic Center
  6. NPI Profile

COWLITZ INDIAN TRIBE
NPI 1861722258
Clinic/Center - Health Service in Toledo, WA

Active since January 06, 2010
107 SPENCER RD, TOLEDO, WA 98591(360) 353-9431(360) 353-9440 Get Directions Write a Review

NPPES record last updated: July 16, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 16, 2018, Mar 22, 2018, Mar 16, 2018 and 2 more (5 updates tracked since 2016).

About Cowlitz Indian Tribe NPPES

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

COWLITZ INDIAN TRIBE (NPI 1861722258) is a healthcare organization registered as a health service in Toledo, Washington and active in the NPI registry since January 2010. The organization maintains a secondary practice location in Ridgefield and lists Shavon Keller, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1861722258
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameCOWLITZ INDIAN TRIBE
Location Address107 SPENCER RDToledo, WA 98591
Mailing AddressPo Box 2429Longview, WA 98632-8486 · (360) 353-9431 · Fax (360) 353-9440
Phone(360) 353-9431
Fax(360) 353-9440
Organization SubpartYes
Authorized OfficialShavon KellerBilling Supervisor · (360) 353-9431
Enumeration DateJanuary 6, 2010
Last NPPES UpdateJuly 16, 20185 updates tracked since enumeration
✔ NPI 1861722258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
107 SPENCER RD, Toledo, WA 98591
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Cowlitz WayRidgefield, WA 98642-5487 · Phone (360) 575-8275 · Fax (360) 353-9440

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 1861722258. It was assigned to this organization in the NPPES registry on January 6, 2010.

Where is Cowlitz Indian Tribe located?

Cowlitz Indian Tribe is located at 107 Spencer Rd, Toledo, WA 98591. The listed phone number is (360) 353-9431.

What is Cowlitz Indian Tribe's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Cowlitz Indian Tribe was last updated on July 16, 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.