NPI 1891822003 · live from the CMS NPI Registry
Confederated Tribes Of Siletz
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Siletz, OR. National Provider Identifier 1891822003, active.
NPI record
| NPI | 1891822003 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X |
| Practice location | 200 Gwee-Shut Road, Siletz, OR 97380 |
| Practice phone | 541-444-1030 |
| Mailing address | Po Box 320, Siletz, OR 97380 |
| Enumerated | February 27, 2007 |
| Last updated | September 21, 2022 |
| Authorized official | Miranda Williams, Health Director |
| Other names | Siletz Community Health Clinic Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | RP-0002621-CS (OR) |
| Pharmacy, Clinic Pharmacy | 3336C0002X | RP-0002621-CS (OR) |
| Pharmacy, Mail Order Pharmacy | 3336M0002X | RP-0002621-CS (OR) |
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy primary | 332800000X | RP-0002621-CS (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.