National Provider Identifier Database

PUYALLUP TRIBAL HEALTH AUTHORITY
Adult Mental Health

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.


Contact Information

PUYALLUP TRIBAL HEALTH AUTHORITY
2209 E 32ND ST
TACOMA, WA98404
Phone: 253-593-0232
Fax: 253-382-2091
Website:
Specialty Taxonomy Code
* Adult Mental Health 261QM0850X
Adolescent and Children Mental Health 261QM0855X

* Indicates primary specialty

NPI Profile & details for PUYALLUP TRIBAL HEALTH AUTHORITY

NPI Number 1255378782
Legal business name
LBN
PUYALLUP TRIBAL HEALTH AUTHORITY
Authorized official CHRIS HENRY - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 06/01/2006
Last updated 07/13/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • WA Medicaid: 1980762
  • WA Other: 366486002 GROUP HEALTH OPTIONS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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