NPIMap

Organization Active NPI

Quinault Indian Nation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Taholah, WA
National Provider Identifier
1750573911
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
FEDERAL Issued in NU
Legal business name
QUINAULT INDIAN NATION
Practice address
1505 Kla-Ook-Wa Dr
Taholah, WA 98587
Phone
(360) 276-4405
Fax
(360) 276-4474
NPI assigned
Aug 13, 2007
Last updated
Aug 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
Mariah Yvonne Ralston
Title
Billing Manager
Phone
(360) 276-4405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X FEDERAL NU Primary

Addresses

Primary practice location

1505 Kla-Ook-Wa Dr
Taholah, WA 98587

Mailing address

1505 Kla-Ook-Wa Dr
Taholah, WA 98587
Phone (360) 276-4405

Other identifiers 1

IdentifierTypeStateIssuer
1980788MedicaidWA

Other names 1

  • ROGER SAUX HEALTH CENTER-MH Other name

National Provider Directory

National Provider Directory
Tax ID family
Roger Saux Health Clini5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1750573911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 KLA-OOK-WA DR",
            "city": "TAHOLAH",
            "state": "WA",
            "postal_code": "98587",
            "telephone_number": "360-276-4405",
            "fax_number": "360-276-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 KLA-OOK-WA DR",
            "city": "TAHOLAH",
            "state": "WA",
            "postal_code": "98587",
            "telephone_number": "360-276-4405",
            "fax_number": "360-276-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINAULT INDIAN NATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "MARIAH",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "360-276-4405"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": "FEDERAL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1980788",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROGER SAUX HEALTH CENTER-MH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Taholah, WA

Sources for this page

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