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Contact Information

PUYALLUP TRIBAL HEALTH AUTHORITY
2209 E 32ND ST
TACOMA, WA98404
 Phone: 253-593-0232
 Fax: 253-382-2091
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Mental Health

261QM0850X
 

Adolescent and Children Mental Health

261QM0855X
Indicates primary specialty

NPI Profile & details for PUYALLUP TRIBAL HEALTH AUTHORITY

NPI # 1255378782
LBN Legal business name PUYALLUP TRIBAL HEALTH AUTHORITY
Authorized official CHRIS HENRY - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/01/2006
Last updated 07/13/2018 - About 8 years ago
Identifiers
WA Medicaid 1980762
WA Other 366486002 GROUP HEALTH OPTIONS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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