Organization Active NPI

Stillaguamish Tribe of Indians

  • Community/Behavioral Health Agency
  • Arlington, WA
National Provider Identifier
1639354194
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
STILLAGUAMISH TRIBE OF INDIANS
Practice address
4126 172ND St NE
Arlington, WA 98223-6384
Phone
(360) 653-1104
Fax
(360) 653-3277
NPI assigned
Jan 3, 2008
Last updated
Jan 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Mr. Thomas Ashley, MS
Title
Director
Phone
(360) 653-1104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

4126 172ND St NE
Arlington, WA 98223-6384

Mailing address

4126 172ND St NE
Arlington, WA 98223-6384
Phone (360) 653-1104

Other names 1

  • Mental Health Programs Other name

National Provider Directory

National Provider Directory
Tax ID family
Stillaguamish Tribal Health Clinic10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1639354194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 172ND ST NE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982236384",
            "telephone_number": "360-653-1104",
            "fax_number": "360-653-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 172ND ST NE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982236384",
            "telephone_number": "360-653-1104",
            "fax_number": "360-653-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLAGUAMISH TRIBE OF INDIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "ASHLEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "360-653-1104",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mental Health Programs",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.