| NPI | 1740562909 |
|---|---|
| Other Name | COWLITZ INDIAN TRIBAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | SHAVON KELLER Billing Supervisor 360-353-9431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2018-03-22 |