Organization
CONFEDERATED TRIBES OF SILETZ
Active
Other names
Siletz Community Health Clinic
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 RD, SILETZ, OR 97380-2036
(541) 444-1030
(541) 444-9695
Mailing address
PO BOX 320, SILETZ, OR 97380-0320
(541) 444-1030
(541) 444-9695
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
169841
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169841
—
OR
Enumeration date
09/06/2006
Last updated
09/21/2022
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