Provider Demographics
NPI:1346383379
Name:CONFEDERATED TRIBES OF THE CHEHALIS RESERVATION
Entity Type:Organization
Organization Name:CONFEDERATED TRIBES OF THE CHEHALIS RESERVATION
Other - Org Name:THE CHEHALIS TRIBAL HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-273-5504
Mailing Address - Street 1:PO BOX 570
Mailing Address - Street 2:
Mailing Address - City:OAKVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98568-0570
Mailing Address - Country:US
Mailing Address - Phone:360-709-1690
Mailing Address - Fax:360-858-7300
Practice Address - Street 1:21 NIEDERMAN ROAD
Practice Address - Street 2:
Practice Address - City:OAKVILLE
Practice Address - State:WA
Practice Address - Zip Code:98568
Practice Address - Country:US
Practice Address - Phone:360-709-1660
Practice Address - Fax:360-858-7300
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CONFEDERATED TRIBES OF THE CHEHALIS RESERVATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-15
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center