NPIMap

Organization Active NPI

Lummi Indian Business Council

  • Recovery Care Clinic/Center
  • Bellingham, WA
National Provider Identifier
1407979289
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
Legal business name
LUMMI INDIAN BUSINESS COUNCIL
Practice address
2616 Kwina Rd.
Bellingham, WA 98226
Phone
(360) 312-2420
Fax
(360) 384-2349
NPI assigned
Apr 9, 2007
Organization subpart
Yes
Parent organization
LUMMI INDIAN BUSINESS COUNCILAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Authorized official

Name
Sara J Folsom
Title
Contracting & Reimbursement Superv.
Phone
(360) 312-2489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recovery Care Clinic/Center 261QR0800X Primary

Addresses

Primary practice location

2616 Kwina Rd.
Bellingham, WA 98226

Mailing address

2592 Kwina Rd.
Bellingham, WA 98226
Phone (360) 312-2285

Other identifiers 2

IdentifierTypeStateIssuer
1991447MedicaidWA
1044098MedicaidWA

Other names 2

  • Lummi Healing Spirit Clinic Other name
  • Lummi OTP, Lummi Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Opioid treatment program
Medicare-enrolled since May 28, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200903002460 TX Part B Supplier - Opioid Treatment Program (Otp) 5395738231 Practice locations: Bellingham, WA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Lummi Nation Health Center16 organizations share this tax ID, including this one
Part of
Lummi Nation Health Center

Other organizations with this tax ID 15

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

View all 15

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1407979289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2592 KWINA RD.",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98226",
            "telephone_number": "360-312-2285",
            "fax_number": "360-384-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 KWINA RD.",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98226",
            "telephone_number": "360-312-2420",
            "fax_number": "360-384-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMMI INDIAN BUSINESS COUNCIL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUMMI INDIAN BUSINESS COUNCIL",
        "enumeration_date": "2007-04-09",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "FOLSOM",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CONTRACTING & REIMBURSEMENT SUPERV.",
        "authorized_official_telephone_number": "360-312-2489"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1991447",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1044098",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lummi Healing Spirit Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lummi OTP, Lummi Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lummi Healing Spirit Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.