Puyallup Tribal Health Authority

Primary specialty

Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X

Legal business name

PUYALLUP TRIBAL HEALTH AUTHORITY

Doing business as

Puyallup Tribal Health Authority

Practice address

2209 E 32ND St
Tacoma, WA 98404

Phone

(253) 593-0232

Fax

(253) 382-2091

NPI assigned

Feb 23, 2007

Last updated

Jul 13, 2018By 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

Ms. Chris Henry

Title

Executive Director

Phone

(253) 593-0232

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 2

• PUYALLUP TRIBAL HEALTH AUTHORITY Doing business as
• PTHA-PHARMACY Other name

Tax ID family

Puyallup Tribal HLTH Auth3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Puyallup Tribal Health Authority

  • Adult Mental Health Clinic/Center
  • Tacoma, WA
  • NPI 1255378782
  NPD tax ID
• Puyallup Tribal Health Authority

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Tacoma, WA
  • NPI 1689709172
  NPD tax ID

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1659406171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 E 32ND ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984044922",
            "telephone_number": "253-593-0232",
            "fax_number": "253-382-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 E 32ND ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98404",
            "telephone_number": "253-593-0232",
            "fax_number": "253-382-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUYALLUP TRIBAL HEALTH AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "253-593-0232",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPD",
            "identifier": "4925357",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6021372",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "17462",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PUYALLUP TRIBAL HEALTH AUTHORITY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PTHA-PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Courtney Erin Putnam, LMHC
• Sarah Putnam, PSYD
• Trudy Leilani Puulei-Palauni
• Puyallup Tribal Health Authority
• Puyallup Tribal Health Authority
• Puyallup Tribal Health Authority
• Puyallup Tribal Opioid Clinic, Inc. (Cedar Wellness Center)
• Tasha Marie Pykkonen
• Jordan Pyne
• Skye SMK Pyo, PHARMD

• Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.