Organization
QUILEUTE TRIBAL COUNCIL
Active
Other names
QUILEUTE HEALTH CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
JOLENE WINGER (HEALTH DIRECTOR)
(360) 374-4058
Entity
Organization
Contact information
Practice address
560 QUILEUTE HEIGHTS, LAPUSH, WA 98350
(360) 374-9035
(360) 374-5448
Mailing address
PO BOX 189, LA PUSH, WA 98350-0189
(360) 374-9035
(360) 374-5448
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7084486
—
WA
01
—
TEZ090
MEDICARE
WA
Enumeration date
12/08/2006
Last updated
04/19/2024
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