Skokomish Indian Tribe in Skokomish Nation - Adolescent Medicine

Skokomish Indian Tribe - NPI 1073715272

Skokomish Indian Tribe is a Adolescent Medicine in Skokomish Nation, Washington. Skokomish Indian Tribe practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Skokomish Indian Tribe is 1073715272. The last update date is 2020-08-22.

Skokomish Indian Tribe's current location address is N. 561 Tribal Center Rd, Skokomish Nation, Washington. You can contact this provider via phone number 3604267788 and fax number 3604620082. The mailing address for Skokomish Indian Tribe is N. 561 Tribal Center Rd, Skokomish Nation, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Skokomish Indian Tribe
Address N. 561 Tribal Center Rd, Skokomish Nation, Washington
Phone Number 3604267788
Fax Number 3604620082
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Foster Maylnn
Telephone Number 3604267788

NPI Number Detail

NPI Number 1073715272
Provider Enumeration Date 2007-06-01
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address N. 561 Tribal Center Rd
City Skokomish Nation
State Washington (WA)
Post Code 985847416
Phone Number 3604267788
Fax Number 3604620082

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 207Qa0000X
Licence No MD00012725
Definition:
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1980796 WA --

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FAQs about Skokomish Indian Tribe

What is the unique identifier code issued to Skokomish Indian Tribe by the Centers for Medicare & Medicaid Services (CMS)?

The Skokomish Indian Tribe has been assigned the NPI (National Provider Identifier) 1073715272. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Skokomish Indian Tribe's physical address?

The Skokomish Indian Tribe is physically located at N. 561 Tribal Center Rd, in the city of Skokomish Nation, WA, with the postal code 985847416.

What is Skokomish Indian Tribe's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Skokomish Indian Tribe is Adolescent Medicine, and the corresponding taxonomy classification code for this specialized field is 207Qa0000X.

When did the Skokomish Indian Tribe receive its 1073715272?

The Skokomish Indian Tribe was issued its 1073715272 on 2007-06-01, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Skokomish Indian Tribe, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Skokomish Indian Tribe, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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