NPIMap

Organization Active NPI

Kalispel Tribe-Camas Institute

  • Community/Behavioral Health Agency
  • Airway Heights, WA
National Provider Identifier
1518019272
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
32117400 Issued in WA
Legal business name
KALISPEL TRIBE-CAMAS INSTITUTE
Practice address
934 S Garfield Rd
Airway Heights, WA 99001-9030
Phone
(509) 789-7630
Fax
(509) 343-4128
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Mrs. Annette Hall, MSW, LICSW, SUDP, NCNPI 1235565805
Title
Behavioral Health Administrator
Phone
(509) 447-7430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Community/Behavioral Health Agency 251S00000X 32117400 WA Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

934 S Garfield Rd
Airway Heights, WA 99001-9030

Mailing address

934 S Garfield Rd
Airway Heights, WA 99001-9030
Phone (509) 789-7630

Other practice location 1

808 Community Hall Rd
Cusick, WA 99119-6034
Phone (509) 445-7402

Other names 1

  • KALISPEL INDIAN COMM OF KALISPEL RES WA Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071107000736 WA Part B Supplier - Clinic/Group Practice 1951498922 Receives reassigned benefits from 15 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Airway Heights, WA; Cusick, WA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Kalispel Tribe-Camas Institute4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

934 S Garfield Rd
Airway Heights, WA 99001
Phone (509) 789-7630

1821 Leclerc Rd N
Cusick, WA 99119
Phone (509) 447-7111

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1518019272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 S GARFIELD RD",
            "city": "AIRWAY HEIGHTS",
            "state": "WA",
            "postal_code": "990019030",
            "telephone_number": "509-789-7630",
            "fax_number": "509-343-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 S GARFIELD RD",
            "city": "AIRWAY HEIGHTS",
            "state": "WA",
            "postal_code": "990019030",
            "telephone_number": "509-789-7630",
            "fax_number": "509-343-4128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 Community Hall Rd",
            "address_purpose": "LOCATION",
            "city": "Cusick",
            "state": "WA",
            "postal_code": "991196034",
            "country_code": "US",
            "telephone_number": "509-445-7402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KALISPEL TRIBE-CAMAS INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH ADMINISTRATOR",
        "authorized_official_telephone_number": "509-447-7430",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LICSW, SUDP, NC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "32117400",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KALISPEL INDIAN COMM OF KALISPEL RES WA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Airway Heights, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.