| Sophie Trettevick Indian Health Center | |
|
250 Fort Street Neah Bay WA 98357 | |
| (360) 645-2233 | |
| (360) 645-2305 |
| Full Name | Sophie Trettevick Indian Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 250 Fort Street, Neah Bay, Washington |
| Authorized Official Name and Position | Karen R Tyler (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 3606452628 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sophie Trettevick Indian Health Center Po Box 410 Neah Bay WA 98357-0410 Ph: (360) 645-2233 | Sophie Trettevick Indian Health Center 250 Fort Street Neah Bay WA 98357 Ph: (360) 645-2233 |
| NPI Number | 1356371397 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 10/08/2018 |
| Medicare PECOS PAC ID | 7315041829 |
|---|---|
| Medicare Enrollment ID | O20070322000286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356371397 | NPI | - | NPPES |
| 7134083 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Anne E Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487660726 PECOS PAC ID: 1759464100 Enrollment ID: I20080208000298 |
| Provider Name | Mary E Thorne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972609683 PECOS PAC ID: 1557504263 Enrollment ID: I20130828000600 |
| Provider Name | Lucinda Rau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326315987 PECOS PAC ID: 6709030414 Enrollment ID: I20171110001142 |
Makah Tribe Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 171 Makah Bay Dr, Neah Bay, WA 98357 Phone: 360-645-3014 Fax: 360-645-2465 | |
Sophie Trettevick Indian Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Fort St., Neah Bay, WA 98357 Phone: 360-645-3222 Fax: 360-645-2723 |