Organization
SHOALWATER BAY INDIAN TRIBE
Active
Organization
SHOALWATER BAY INDIAN TRIBE
Active
Other names
Shoalwater Bay Tribal Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL JOHNSON (TRIBAL ADMISTRATOR)
(360) 267-6766
Entity
Organization
Contact information
Practice address
2373 OLD TOKELAND RD, TOKELAND, WA 98590
(360) 267-3408
(360) 267-1127
Mailing address
PO BOX 500, TOKELAND, WA 98590-0500
(360) 267-3408
(360) 267-1127
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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