Sophie Trettevick Indian Health Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SOPHIE TRETTEVICK INDIAN HEALTH CENTER

Practice address

250 Fort St.
Neah Bay, WA 98357

Phone

(360) 645-3222

Fax

(360) 645-2723

NPI assigned

Jul 6, 2018

Organization subpart

No

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

Authorized official

Name

Kim Vogel, LPN

Title

HCV/Mat Case Manager

Phone

(360) 645-2233

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530835200000",
    "number": "1750877437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410",
            "city": "NEAH BAY",
            "state": "WA",
            "postal_code": "983570410",
            "telephone_number": "360-645-3222",
            "fax_number": "360-645-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FORT ST.",
            "city": "NEAH BAY",
            "state": "WA",
            "postal_code": "98357",
            "telephone_number": "360-645-3222",
            "fax_number": "360-645-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPHIE TRETTEVICK INDIAN HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-06",
        "last_updated": "2018-07-06",
        "status": "A",
        "authorized_official_last_name": "VOGEL",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "HCV/MAT CASE MANAGER",
        "authorized_official_telephone_number": "360-645-2233",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen R Sanders
• Brook Cherith Sawyer, LMP
• Paul L Schwabe, MT
• Sophie Trettevick Indian Health Center
• Sophie Trettevick Indian Health Center
• Thomas Michael Vaneaton, MD
• Katy Dawn Wessel, RN
• Thena Westfall, R.N.
• Christie Heath Woolard

• Clinic/Center in Neah Bay, WA
• Providers in Neah Bay, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.