| Shoalwater Bay Indian Tribe | |
|
2373 Old Tokeland Rd Tokeland WA 98590 | |
| (360) 267-3408 | |
| (360) 267-1127 |
| Full Name | Shoalwater Bay Indian Tribe |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2373 Old Tokeland Rd, Tokeland, Washington |
| Authorized Official Name and Position | Carol Johnson (TRIBAL ADMISTRATOR) |
| Authorized Official Contact | 3602676766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoalwater Bay Indian Tribe Po Box 500 Tokeland WA 98590-0500 Ph: (360) 267-3408 | Shoalwater Bay Indian Tribe 2373 Old Tokeland Rd Tokeland WA 98590 Ph: (360) 267-3408 |
| NPI Number | 1104038926 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104038926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Shoalwater Bay Indian Tribe Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2373 Old Tokeland Rd, Tokeland, WA 98590 Phone: 360-267-2508 Fax: 360-267-1127 |