NPIMap

Organization Active NPI

Stillaguamish Tribe of Indians

  • Community/Behavioral Health Agency
  • Arlington, WA
National Provider Identifier
1922201862
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
STILLAGUAMISH TRIBE OF INDIANS
Practice address
902 E Maple St
Arlington, WA 98223-1634
Phone
(360) 435-9338
NPI assigned
Jun 7, 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
Mr. Thomas Ashley
Title
Director, Social and Health Service
Phone
(360) 653-1104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

902 E Maple St
Arlington, WA 98223-1634

Mailing address

902 E Maple St
Arlington, WA 98223-1634

Other identifiers 1

IdentifierTypeStateIssuer
1981133MedicaidWA

Other names 1

  • Health Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stillaguamish Tribe of Indians11 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

902 E Maple St
Arlington, WA 98223
Phone (360) 435-9338

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922201862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 E MAPLE ST",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 E MAPLE ST",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231634",
            "telephone_number": "360-435-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLAGUAMISH TRIBE OF INDIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ASHLEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR, SOCIAL AND HEALTH SERVICE",
        "authorized_official_telephone_number": "360-653-1104",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1981133",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, 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.