Cowlitz Indian Tribe in Longview - Rehabilitation, Substance Use Disorder

Cowlitz Indian Tribe - NPI 1528285038

Cowlitz Indian Tribe is a Rehabilitation, Substance Use Disorder in Longview, Washington. Cowlitz Indian Tribe practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Cowlitz Indian Tribe is 1528285038. The last update date is 2023-02-03.

Cowlitz Indian Tribe's current location address is Po Box 2429, Longview, Washington. You can contact this provider via phone number 3605758275 and fax number 3605751950. The mailing address for Cowlitz Indian Tribe is Po Box 2429, Longview, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Cowlitz Indian Tribe
Address Po Box 2429, Longview, Washington
Phone Number 3605758275
Fax Number 3605751950
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BILLING SU
Authorized Official Name Keller Shavon
Telephone Number 3603539431

NPI Number Detail

NPI Number 1528285038
Provider Enumeration Date 2007-04-19
Last Updated Date 2023-02-03

Provider Mailing Address Detail

Address Po Box 2429
City Longview
State Washington (WA)
Post Code 986328486
Phone Number 3605758275
Fax Number 3605751950

Provider's Primary Taxonomy Detail

Speciality Rehabilitation, Substance Use Disorder
Taxonomy 261Qr0405X
Definition:
Provides therapeutic interventions to treat alcohol and drug addiction.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1994987 WA --

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FAQs about Cowlitz Indian Tribe

What is the unique 10-digit identification code assigned to Cowlitz Indian Tribe by the Centers for Medicare & Medicaid Services?

The Cowlitz Indian Tribe has been issued the NPI (National Provider Identifier) 1528285038, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Cowlitz Indian Tribe's facilities are situated?

The facilities of Cowlitz Indian Tribe are physically located at the following address: Po Box 2429, Longview, WA, 986328486.

What is Cowlitz Indian Tribe's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Cowlitz Indian Tribe is Rehabilitation, Substance Use Disorder, and the taxonomy classification code that categorizes this area of expertise is 261Qr0405X.

On what date was the 1528285038 assigned to Cowlitz Indian Tribe?

The Cowlitz Indian Tribe was issued its 1528285038 on 2007-04-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Cowlitz Indian Tribe most recently updated or refreshed?

The details pertaining to the Cowlitz Indian Tribe, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-02-03.

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