Organization · Type 2 NPI

Squaxin Island Medicaid Encounter

Clinic/Center · Shelton, WA

NPI number 1114135779 Active

Practice location

90 SE Klah Che Min Dr
Shelton, WA 98584-9216

Call (360) 427-9006 Map

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: 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).

18 other providers at this address

Other clinic/center providers in Shelton

See all in Shelton →

About NPI 1114135779

Squaxin Island Medicaid Encounter's National Provider Identifier is 1114135779, issued on May 18, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Shelton, WA. The record was last updated on Aug 22, 2020.