| Samish Indian Nation | |
|
2918 Commercial Ave Anacortes WA 98221-2738 | |
| (360) 293-6404 | |
| Not Available |
| Full Name | Samish Indian Nation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2918 Commercial Ave, Anacortes, Washington |
| Authorized Official Name and Position | Thomas Wooten (TRIBAL CHAIR) |
| Authorized Official Contact | 3602936404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samish Indian Nation 2918 Commercial Ave Anacortes WA 98221-2738 Ph: (360) 293-6404 | Samish Indian Nation 2918 Commercial Ave Anacortes WA 98221-2738 Ph: (360) 293-6404 |
| NPI Number | 1790942902 |
|---|---|
| Provider Enumeration Date | 05/16/2008 |
| Last Update Date | 05/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790942902 | NPI | - | NPPES |
| 1987123680 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 29140100 (Washington) | Primary |
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