Spokane Tribe of Indians

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1980770 Issued in WA

Legal business name

SPOKANE TRIBE OF INDIANS

Practice address

6228 E. School Road
Wellpinit, WA 99040

Phone

(509) 258-7502

Fax

(509) 258-7502

NPI assigned

Aug 15, 2007

Last updated

Aug 15, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard L. Sherwood

Title

Chairman

Phone

(509) 258-7502

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Ann Christine Dahl, CDP

  • Addiction (Substance Use Disorder) Counselor
  • Wellpinit, WA
  • NPI 1609009349
  NPD (past)

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1467644294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6228 E. SCHOOL ROAD",
            "city": "WELLPINIT",
            "state": "WA",
            "postal_code": "990400100",
            "telephone_number": "509-258-7502",
            "fax_number": "509-258-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6228 E. SCHOOL ROAD",
            "city": "WELLPINIT",
            "state": "WA",
            "postal_code": "99040",
            "telephone_number": "509-258-7502",
            "fax_number": "509-258-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE TRIBE OF INDIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "SHERWOOD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "509-258-7502",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "1992841",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "1980770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Genet Sachse, RN
• Carolina E Sanchez-Van Komen, LPN
• Derrick Lemont Singleton
• Jody Soura
• Spokane Tribal Ambulance
• Spokane Tribe of Indians (David C. Wynecoop Memorial Health Center)
• Spokane Tribe of Indians (Spokane Tribal Emergency Response)
• Twa-Le E Swan
• Rebecca Tidwell, PHARMD
• Wellpinit School District

• Community/Behavioral Health Agency in Wellpinit, WA
• Providers in Wellpinit, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.