NPIMap

Organization Active NPI

Roger Saux Health Center

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Taholah, WA
National Provider Identifier
1427171628
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X
License
FEDERAL Issued in WA
Legal business name
ROGER SAUX HEALTH CENTER
Practice address
1505 Klaookwa Drive
Taholah, WA 98587
Phone
(360) 276-4405
Fax
(360) 276-4474
NPI assigned
Apr 10, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X FEDERAL WA Primary

Addresses

Primary practice location

1505 Klaookwa Drive
Taholah, WA 98587

Mailing address

1505 Kla-Ook-Wah Dr
Taholah, WA 98587
Phone (360) 276-4405

Other identifiers 1

IdentifierTypeStateIssuer
4924963OtherWANABP

Other names 1

  • QUINAULT INDIAN NATION Other name

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.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1427171628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 KLA-OOK-WAH DR",
            "city": "TAHOLAH",
            "state": "WA",
            "postal_code": "98587",
            "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 KLAOOKWA DRIVE",
            "city": "TAHOLAH",
            "state": "WA",
            "postal_code": "98587",
            "telephone_number": "360-276-4405",
            "fax_number": "360-276-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER SAUX HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "MARIAH",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "360-276-4405"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": "WA",
            "license": "FEDERAL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4924963",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUINAULT INDIAN NATION",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 7, 2023; 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.