NPIMap

Organization Active NPI

The Chehalis Tribal Health & Wellness Center

  • Clinic/Center
  • Oakville, WA
National Provider Identifier
1689899296
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
THE CHEHALIS TRIBAL HEALTH & WELLNESS CENTER
Practice address
21 Niederman Rd
Oakville, WA 98568
Phone
(360) 858-1660
Fax
(360) 858-1660
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Marsha K Pockat
Title
Medical Billing
Phone
(360) 858-1660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

21 Niederman Rd
Oakville, WA 98568

Mailing address

PO Box 570
Oakville, WA 98568-0570
Phone (360) 858-1660

Other identifiers 1

IdentifierTypeStateIssuer
9059296MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
The Chehalis Tribal Health Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

21 Niederman Rd
Oakville, WA 98568
Phone (360) 273-5504

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689899296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 570",
            "city": "OAKVILLE",
            "state": "WA",
            "postal_code": "985680570",
            "telephone_number": "360-858-1660",
            "fax_number": "360-858-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 NIEDERMAN RD",
            "city": "OAKVILLE",
            "state": "WA",
            "postal_code": "98568",
            "telephone_number": "360-858-1660",
            "fax_number": "360-858-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHEHALIS TRIBAL HEALTH & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POCKAT",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEDICAL BILLING",
        "authorized_official_telephone_number": "360-858-1660"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9059296",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.