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Contact Information

JAMESTOWN S'KLALLAM TRIBE
1033 OLD BLYN HWY
SEQUIM, WA98382-7670
 Phone: 360-683-1109
 Fax: 360-683-3401
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Public Health, Federal

261QP0904X
Indicates primary specialty

NPI Profile & details for JAMESTOWN S'KLALLAM TRIBE

NPI Number 1477630507
LBN Legal business name JAMESTOWN S'KLALLAM TRIBE
Authorized official W. ALLEN - (TRIBAL CHAIRMAN/EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2006
Last updated 12/29/2021 - About 4 years ago
Identifiers
WA Medicaid 7123433
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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