Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
CONFEDERATED TRIBES OF SILETZ
Active
Organization
CONFEDERATED TRIBES OF SILETZ
Active
Other names
Siletz Community Health Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA WILLIAMS (HEALTH DIRECTOR)
(541) 444-1030
Entity
Organization
Contact information
Practice address
200 GWEE-SHUT ROAD, SILETZ, OR 97380
(541) 444-1030
(541) 444-9695
Mailing address
PO BOX 320, SILETZ, OR 97380-0320
(541) 444-1030
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
RP-0002621-CS
OR
332B00000X
Durable Medical Equipment & Medical Supplies
RP-0002621-CS
OR
3336C0002X
Clinic Pharmacy
RP-0002621-CS
OR
3336M0002X
Mail Order Pharmacy
RP-0002621-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051966
—
OR
Enumeration date
02/27/2007
Last updated
09/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up