NPIMap

Organization Active NPI

Lower Elwha Klallam Tribe

  • Community Health Clinic/Center
  • Port Angeles, WA
National Provider Identifier
1295851160
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
LOWER ELWHA KLALLAM TRIBE
Practice address
3080 Lower Elwha Rd
Port Angeles, WA 98363-8411
Phone
(360) 452-8471
Fax
(360) 457-8429
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Frances G Charles
Title
Chairwoman
Phone
(360) 452-8471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

3080 Lower Elwha Rd
Port Angeles, WA 98363-8411

Mailing address

3080 Lower Elwha Rd
Port Angeles, WA 98363-8411
Phone (360) 452-8471

Other names 1

  • Lower Elwha Health & Human Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lower Elwha Health Clinic8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

3080 Lower Elwha Rd
Port Angeles, WA 98363
Phone (360) 452-6252

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295851160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 LOWER ELWHA RD",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983638411",
            "telephone_number": "360-452-8471",
            "fax_number": "360-457-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 LOWER ELWHA RD",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983638411",
            "telephone_number": "360-452-8471",
            "fax_number": "360-457-8429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER ELWHA KLALLAM TRIBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHAIRWOMAN",
        "authorized_official_telephone_number": "360-452-8471"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lower Elwha Health & Human Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Angeles, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.