SILETZ COMMUNITY HEALTH CLINIC PHARMACY
NPI 1891822003
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Siletz, OR

Q: What is Confederated Tribes Of Siletz's NPI number?

The NPI number for Confederated Tribes Of Siletz is 1891822003. It was assigned to this organization in the NPPES registry on February 27, 2007. The provider is doing business as Siletz Community Health Clinic Pharmacy.

Q: What is Confederated Tribes Of Siletz's specialty?

The primary specialty registered for this NPI is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.

Active since February 27, 2007

200 GWEE-SHUT ROAD, SILETZ, OR 97380(541) 444-1030(541) 444-9695 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 21, 2022, Jun 28, 2018, Dec 21, 2017 and 1 more (4 updates tracked since 2017).

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About Siletz Community Health Clinic Pharmacy NPPES

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

SILETZ COMMUNITY HEALTH CLINIC PHARMACY (NPI 1891822003) is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Siletz, Oregon and active in the NPI registry since February 2007. The organization lists Miranda Williams, Health Director, as its authorized official.

NPPES Registry Identity

NPI1891822003

Entity TypeOrganization

Primary Taxonomy332800000X

Legal Business NameCONFEDERATED TRIBES OF SILETZ

Location Address200 GWEE-SHUT ROADSiletz, OR 97380

Mailing AddressPo Box 320Siletz, OR 97380-0320 · (541) 444-1030

Phone(541) 444-1030

Fax(541) 444-9695

Organization SubpartNo

Authorized OfficialMiranda WilliamsHealth Director · (541) 444-1030

Enumeration DateFebruary 27, 2007

Last NPPES UpdateSeptember 21, 20224 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2022

✔ NPI 1891822003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers

Taxonomy Code332800000X

License✔ Licensed in OR · RP-0002621-CS

Definition

An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License RP-0002621-CS (OR)

Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X · License RP-0002621-CS (OR)

Also ListedPharmacy · Mail Order PharmacyTaxonomy 3336M0002X · License RP-0002621-CS (OR)

200 GWEE-SHUT ROAD, Siletz, OR 97380

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Other Names 1

Doing Business AsSiletz Community Health Clinic Pharmacy

Other Identifiers 1

Medicaid051966OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Other Providers at the Same Location NPPES 6

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

MS. PATRICIA CANNING PMHNP

Nurse Practitioner (Psychiatric/Mental Health)