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Cowlitz Indian Tribe
Health Service Clinic/Center in Longview, Washington
NPI 1740562909

Cowlitz Indian Tribe is a Health Service Clinic/Center based in Longview, WA and is specialized in Health Service. Cowlitz Indian Tribe practices in Longview, WA. The NPI Number for Cowlitz Indian Tribe is 1740562909 and holds a License No. (Washington).

The current practice location address for Cowlitz Indian Tribe is 1044 11Th Ave, Longview, WA and can be reached out via phone at 360-575-8275 and via fax at 360-575-1948.

Location: 1044 11Th Ave, Longview, WA, 98632-8486
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740562909
Provider Name
Cowlitz Indian Tribe
Credential
Provider Entity Type
Organization
Address
1044 11Th Ave, Longview, WA, 98632-8486
Phone Number
360-575-8275
Fax Number
360-575-1948
Provider Enumeration Date
09/14/2011
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7122898 05 WA
institution
Provider Business Practice Location Address Details
Address
1044 11Th Ave
City
Longview
State
Washington
Zip
98632-2506
Phone Number
360-575-8275
Fax Number
360-575-1948
person
Provider Business Mailing Address Details
Address
1044 11Th Ave
City
Longview
State
Washington
Zip
98632-2506
Phone Number
360-575-8275
Fax Number
360-575-1948
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
()
Definition
Definition to come...
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