# NISQUALLY INDIAN TRIBE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NISQUALLY INDIAN TRIBE
- **Other names:** Nisqually Corrections
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1730075581
- **Legal business name:** NISQUALLY INDIAN TRIBE
- **Authorized official:** JEFF SMITH (LIEUTENANT)
- **Authorized official phone:** (360) 459-9603

## Contact information

- **Practice address:** 11702 YELM HWY SE, OLYMPIA, WA 98513-9109
- **Practice address phone:** (360) 459-9603
- **Mailing address:** 4820 SHE NAH NUM DR SE, OLYMPIA, WA 98513-9105
- **Mailing address phone:** (360) 459-9603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/17/2025
- **Last updated:** 06/17/2025
