Organization
PUYALLUP TRIBAL HEALTH AUTHORITY
Active
Other names
PUYALLUP TRIBAL HEALTH AUTHORITY, TAKOPID HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRIS HENRY (EXECUTIVE DIRECTOR)
(253) 593-0232
Entity
Organization
Contact information
Practice address
2209 E 32ND ST, TACOMA, WA 98404
(253) 593-0232
(253) 382-2091
Mailing address
2209 E 32ND ST, P.O. BOX 8009, TACOMA, WA 98404-4922
(253) 593-0232
(253) 382-2091
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
WA
261QH0100X
Health Service Clinic/Center
—
—
261QP1100X
Podiatric Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0042440
LABOR & INDUSTRIES CLINIC
WA
01
—
366486001
GROUP HEALTH OPTIONS-CLIN
WA
05
—
5035233
—
WA
05
—
7013220
—
WA
05
—
7090954
—
WA
01
—
PO1874
REGENCE CLINIC ID
WA
Enumeration date
06/13/2006
Last updated
07/13/2018
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