NPI | 1851328447 |
---|---|
Other Name | COWLITZ INDIAN TRIBAL HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | SHAVON KELLER Billing Supervisor 360-353-9431 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
261Q00000X Clinic/Center | |
261QH0100X Clinic/Center, Health Services | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2006-06-27 |
Last Update Date | 2024-10-31 |