Organization
NISQUALLY INDIAN TRIBE
Active
Parent organization
NISQUALLY INDIAN TRIBE
Other names
Nisqually Corrections
Organization subpart
Yes
Provider details
NPI number
Legal business name
NISQUALLY INDIAN TRIBE
Authorized official
JEFF SMITH (LIEUTENANT)
(360) 459-9603
Entity
Organization
Contact information
Practice address
11702 YELM HWY SE, OLYMPIA, WA 98513-9109
(360) 459-9603
Mailing address
4820 SHE NAH NUM DR SE, OLYMPIA, WA 98513-9105
(360) 459-9603
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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