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NPI · 1114135779 · NPPES-sourced

Squaxin Island Medicaid Encounter

ActiveClinic/Center
NPI Number
1114135779
Type 2 · Organisation
Taxonomy Code
261Q00000X
Contact
(360) 427-9006
Primary practice line
Last Updated
Enumerated
Primary practice addressWA · 98584-9216
90 Se Klah Che Min DrShelton, WA 98584-9216
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About this NPIWhat this record shows.

NPI 1114135779 is registered to Squaxin Island Medicaid Encounter, a healthcare organisation classified as "Clinic/Center" and located at 90 Se Klah Che Min Dr in Shelton, Washington. The organisation's authorised official is Whitney Jones. The organisation has been enumerated in the NPI registry since 2007.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Squaxin Island Medicaid Encounter accepts. To confirm in-network status with your specific health plan, contact Squaxin Island Medicaid Encounter directly at (360) 427-9006.

Frequently asked

Yes. NPI 1114135779 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Clinic/Center is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (360) 427-9006.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Squaxin Island Medicaid Encounter is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy261Q00000X
Last updated
Enumerated
StatusActive
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