Northwest Indian Treatment Center | |
100 Se Whitener Rd Shelton WA 98584-7747 | |
(360) 470-1474 | |
Not Available |
Full Name | Northwest Indian Treatment Center |
---|---|
Speciality | Clinic/center |
Location | 100 Se Whitener Rd, Shelton, Washington |
Authorized Official Name and Position | June O'brien (DIRECTOR) |
Authorized Official Contact | 3604701474 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Northwest Indian Treatment Center 308 E. Young St. Box 477 Elma WA 98541 Ph: () - | Northwest Indian Treatment Center 100 Se Whitener Rd Shelton WA 98584-7747 Ph: (360) 470-1474 |
NPI Number | 1669508537 |
---|---|
Provider Enumeration Date | 02/26/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669508537 | NPI | - | NPPES |
1981026 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 23037400 (Washington) | Primary |
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