Active NPI
Quinault Indian Nation
Doing business as Roger Saux Health Center
- Dental Clinic/Center
- Taholah, WA
National Provider Identifier
1457542847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- FEDERAL FACILITY
- Legal business name
- QUINAULT INDIAN NATION
- Doing business as
- Roger Saux Health Center
- Practice address
- 1505 Kla-Ook-Wa Dr
Taholah, WA 98587 - Phone
- (360) 276-4405
- Fax
- (360) 276-4474
- NPI assigned
- Aug 9, 2007
- Last updated
- Aug 9, 2007
- 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
- Miss Mariah Yvonne Ralston
- Title
- Billing Manager
- Phone
- (360) 276-4405
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | FEDERAL FACILITY | NU | Primary |
Addresses
Primary practice location
1505 Kla-Ook-Wa Dr
Taholah, WA 98587
Mailing address
1505 Kla-Ook-Wa Dr
Taholah, WA 98587
Phone (360) 276-4405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7082191 | Medicaid | WA |
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": "1186617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186617600000",
"number": "1457542847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 KLA-OOK-WA 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 KLA-OOK-WA DR",
"city": "TAHOLAH",
"state": "WA",
"postal_code": "98587",
"telephone_number": "360-276-4405",
"fax_number": "360-276-4474"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUINAULT INDIAN NATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-09",
"last_updated": "2007-08-09",
"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",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": "FEDERAL FACILITY",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7082191",
"state": "WA"
}
],
"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 Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.