Active NPI
Quinault Indian Nation
Doing business as Roger Saux Health Center
- Ambulance
- Taholah, WA
National Provider Identifier
1245501048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G8894265 | Other | MEDICARE PTAN |
Other names 1
- Roger Saux Health Center
National Provider Directory
National Provider Directory- Tax ID family
- Roger Saux Health Clini
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Taholah, WA
- NPI 1518180744
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Taholah, WA
- NPI 1750573911
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Taholah, WA
- NPI 1427171628
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.