Organization Active NPI

Quinault Indian Nation

Doing business as Roger Saux Health Center

  • Ambulance
  • Taholah, WA
National Provider Identifier
1245501048
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
QUINAULT INDIAN NATION
Doing business as
Roger Saux Health Center
Practice address
1505 Kla-Ook-Wa Drive
Taholah, WA 98587-0219
Phone
(360) 276-4405
Fax
(360) 276-4474
NPI assigned
Jan 25, 2012
Last updated
Jan 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
Mariah Y Ralston
Title
Billing Office Manager
Phone
(360) 276-4405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NU Primary

Addresses

Primary practice location

1505 Kla-Ook-Wa Drive
Taholah, WA 98587-0219

Mailing address

PO Box 219
Taholah, WA 98587-0219
Phone (360) 276-4405

Other identifiers 1

IdentifierTypeStateIssuer
G8894265OtherMEDICARE PTAN

Other names 1

  • Roger Saux Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Roger Saux Health Clini5 organizations share this tax ID, including this one

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": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1245501048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "city": "TAHOLAH",
            "state": "WA",
            "postal_code": "985870219",
            "telephone_number": "360-276-4405",
            "fax_number": "360-276-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 KLA-OOK-WA DRIVE",
            "city": "TAHOLAH",
            "state": "WA",
            "postal_code": "985870219",
            "telephone_number": "360-276-4405",
            "fax_number": "360-276-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINAULT INDIAN NATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "MARIAH",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "BILLING OFFICE MANAGER",
        "authorized_official_telephone_number": "360-276-4405"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G8894265",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roger Saux Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taholah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.