# SKOKOMISH TRIBAL COUNCIL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SKOKOMISH TRIBE HEALTH CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457506081
- **Authorized official:** MS. FRANCES LONGSHORE (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (360) 426-5755

## Contact information

- **Practice address:** 100 N TRIBAL CENTER RD, SKOKOMISH NATION, WA 98584-9748
- **Practice address phone:** (360) 426-5755
- **Practice address fax:** (360) 877-2032
- **Mailing address:** 100 N TRIBAL CENTER RD, SKOKOMISH NATION, WA 98584-9748
- **Mailing address phone:** (360) 426-5755
- **Mailing address fax:** (360) 877-2032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223P0221X | Pediatric Dentistry | — | NULL | — |
| 1223P0221X | Pediatric Dentistry | — | — | — |
| 124Q00000X | Dental Hygienist | — | NULL | — |
| 124Q00000X | Dental Hygienist | — | — | — |

## Other

- **Enumeration date:** 11/24/2008
- **Last updated:** 06/18/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1007457 | — | WA |
| 05 | — | 5021258 | — | WA |
| 05 | — | 5400072 | — | WA |