| Cowlitz Indian Tribe | |
|
900 Fir St Longview WA 98632 | |
| (360) 575-8275 | |
| Not Available |
| Full Name | Cowlitz Indian Tribe |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 900 Fir St, Longview, Washington |
| Authorized Official Name and Position | Shavon Keller (BILLING SUPERVISOR) |
| Authorized Official Contact | 3603539431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cowlitz Indian Tribe Po Box 2429 Longview WA 98632-8486 Ph: (360) 575-8275 | Cowlitz Indian Tribe 900 Fir St Longview WA 98632 Ph: (360) 575-8275 |
| NPI Number | 1528285038 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 10/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528285038 | NPI | - | NPPES |
| 1994987 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
Cowlitz Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1057 12th Ave, Longview, WA 98632 Phone: 360-636-3892 Fax: 360-414-1114 | |
Providence Health & Services Oregon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 971 11th Ave, Longview, WA 98632 Phone: 360-577-1771 | |
Longview Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 11th Ave, Longview, WA 98632 Phone: 360-423-6626 Fax: 360-423-6626 | |
Ideal Option, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1146 14th Ave, Longview, WA 98632 Phone: 877-522-1275 Fax: 509-491-3031 | |
Kidspace Therapy, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2145 Tibbetts Dr Ste A, Longview, WA 98632 Phone: 360-560-1972 Fax: 360-703-3452 | |
Cowlitz Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1057 12th Ave, Longview, WA 98632 Phone: 360-636-3892 Fax: 360-414-1114 | |
Convenient Physicians Services Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1052 Douglas St, Longview, WA 98632 Phone: 360-425-5845 Fax: 360-577-9066 |