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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SQUAXIN ISLAND MEDICAID ENCOUNTER

Active Organization

SQUAXIN ISLAND MEDICAID ENCOUNTER is a Clinic/Center organization located in SHELTON, Washington. NPI 1114135779 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · SHELTON, WA

Registration Details

NPI Number
1114135779
Provider Type
Organization
NPI Issued
May 18, 2007 (19.254424616228 yrs)
Last Updated
Aug 22, 2020

Practice Information

Address
90 SE KLAH CHE MIN DR
SHELTON, WA, 985849216
Browse WA providers · Browse ZIP 98584
Phone
3604279006
Primary Specialty
Clinic/Center
261Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.