NPIMap

Organization Active NPI

Lower Elwha Klallam Tribe

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Port Angeles, WA
National Provider Identifier
1841316700
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LOWER ELWHA KLALLAM TRIBE
Doing business as
Elwha Klallam Mental Health
Lower Elwha Health Department
Practice address
3080 Lower Elwha Rd
Port Angeles, WA 98363-8411
Phone
(360) 452-6252
Fax
(360) 457-8429
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Authorized official

Name
Frances G Charles
Title
Chairwoman
Phone
(360) 452-8471

Specialties & licenses 1

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

Addresses

Primary practice location

3080 Lower Elwha Rd
Port Angeles, WA 98363-8411

Mailing address

243511 Highway 101
Port Angeles, WA 98363-9472
Phone (360) 452-6252

Other names 2

  • Elwha Klallam Mental Health Doing business as
  • Lower Elwha Health Department Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lower Elwha Health Clinic8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1841316700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243511 HIGHWAY 101",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983639472",
            "telephone_number": "360-452-6252",
            "fax_number": "360-797-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 LOWER ELWHA RD",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983638411",
            "telephone_number": "360-452-6252",
            "fax_number": "360-457-8429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER ELWHA KLALLAM TRIBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHAIRWOMAN",
        "authorized_official_telephone_number": "360-452-8471"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elwha Klallam Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elwha Klallam Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lower Elwha Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Angeles, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.