NPIMap

Organization Active NPI

Confederated Tribes of the Chehalis Reservation

Doing business as The Chehalis Tribal Health Center

  • Clinic/Center
  • Oakville, WA
National Provider Identifier
1346383379
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CONFEDERATED TRIBES OF THE CHEHALIS RESERVATION
Doing business as
The Chehalis Tribal Health Center
Practice address
21 Niederman Road
Oakville, WA 98568
Phone
(360) 709-1660
Fax
(360) 858-7300
NPI assigned
Feb 15, 2007
Last updated
Feb 10, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CONFEDERATED TRIBES OF THE CHEHALIS RESERVATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Authorized official

Name
Meghan Walker
Title
Office Manager
Phone
(360) 273-5504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

21 Niederman Road
Oakville, WA 98568

Mailing address

PO Box 570
Oakville, WA 98568-0570
Phone (360) 709-1690

Other names 1

  • The Chehalis Tribal Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040305000528 WA Part B Supplier - Clinic/Group Practice 1153219829 Receives reassigned benefits from 7 practitioners
Practice locations: Oakville, WA

National Provider Directory

National Provider Directory
Tax ID family
The Chehalis Tribal Health Wellness Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1346383379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 570",
            "city": "OAKVILLE",
            "state": "WA",
            "postal_code": "985680570",
            "telephone_number": "360-709-1690",
            "fax_number": "360-858-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 NIEDERMAN ROAD",
            "city": "OAKVILLE",
            "state": "WA",
            "postal_code": "98568",
            "telephone_number": "360-709-1660",
            "fax_number": "360-858-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFEDERATED TRIBES OF THE CHEHALIS RESERVATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONFEDERATED TRIBES OF  THE CHEHALIS RESERVATION",
        "enumeration_date": "2007-02-15",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-273-5504"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Chehalis Tribal Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Chehalis Tribal Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.