QUINAULT INDIAN NATION; NPI #1245501048

Contact Information

QUINAULT INDIAN NATION

1505 KLA-OOK-WA DRIVE
TAHOLAH, WA 98587-0219

Phone: 360-276-4405
Fax: 360-276-4474
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for QUINAULT INDIAN NATION

NPI Number 1245501048

LBN Legal business name QUINAULT INDIAN NATION

Authorized official MARIAH RALSTON - (BILLING OFFICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/25/2012

Last updated 01/25/2012 - About 14 years ago

Identifiers

Other

G8894265

MEDICARE PTAN

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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