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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