Organization Active NPI

The Healing Lodge of the Seven Nations

  • Substance Abuse Rehabilitation Facility
  • Spokane Valley, WA
National Provider Identifier
1194035261
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
RTF-1023 Issued in WA
Legal business name
THE HEALING LODGE OF THE SEVEN NATIONS
Practice address
5600 E 8TH Ave
Spokane Valley, WA 99212-0220
Phone
(509) 533-6910
Fax
(509) 535-2863
NPI assigned
Oct 7, 2010
Organization subpart
Yes
Parent organization
THE HEALING LODGE OF THE SEVEN NATIONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James R Walde, PHD
Title
Financial Director
Phone
(509) 533-6910

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X RTF-1023 WA Primary
Children's Substance Abuse Rehabilitation Facility 3245S0500X

Addresses

Primary practice location

5600 E 8TH Ave
Spokane Valley, WA 99212-0220

Mailing address

5600 E 8TH Ave
Spokane Valley, WA 99212-0220
Phone (509) 533-6910

Other identifiers 1

IdentifierTypeStateIssuer
32150600OtherWADSHA/DBHR

Other names 1

  • The Healing Lodge - Sage Boys CD Other name

National Provider Directory

National Provider Directory
Tax ID family
The Healing Lodge of the Seven Nations5 organizations share this tax ID, including this one
Part of
The Healing Lodge of the Seven Nations

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1194035261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 E 8TH AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992120220",
            "telephone_number": "509-533-6910",
            "fax_number": "509-535-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 E 8TH AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992120220",
            "telephone_number": "509-533-6910",
            "fax_number": "509-535-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALING LODGE OF THE SEVEN NATIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE HEALING LODGE OF THE SEVEN NATIONS",
        "enumeration_date": "2010-10-07",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "WALDE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FINANCIAL DIRECTOR",
        "authorized_official_telephone_number": "509-533-6910",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WA",
            "license": "RTF-1023",
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHA/DBHR",
            "identifier": "32150600",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Healing Lodge - Sage Boys CD",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "The Healing Lodge - Sage Boys CD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.