NPIMap

Organization Active NPI

Tulalip Tribes Health Clinic

  • Rural Health Clinic/Center
  • Tulalip, WA
National Provider Identifier
1902976715
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
TULALIP TRIBES HEALTH CLINIC
Practice address
7520 Totem Beach Rd
Tulalip, WA 98271-6160
Phone
(360) 651-4511
Fax
(360) 651-9451
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Jeremy Howell, DHA, FACHE
Title
Health System Administrator
Phone
(360) 716-5688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

7520 Totem Beach Rd
Tulalip, WA 98271-6160

Mailing address

6406 Marine Dr Ste a
Tulalip, WA 98271-9775
Phone (360) 651-4511

National Provider Directory

National Provider Directory
Tax ID family
Tulalip Health Clinic13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1902976715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6406 MARINE DR STE A",
            "city": "TULALIP",
            "state": "WA",
            "postal_code": "982719775",
            "telephone_number": "360-651-4511",
            "fax_number": "360-651-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 TOTEM BEACH RD",
            "city": "TULALIP",
            "state": "WA",
            "postal_code": "982716160",
            "telephone_number": "360-651-4511",
            "fax_number": "360-651-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULALIP TRIBES HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "HEALTH SYSTEM ADMINISTRATOR",
        "authorized_official_telephone_number": "360-716-5688",
        "authorized_official_credential": "DHA, FACHE"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulalip, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.