OrganizationActive
Shoalwater Bay Indian Tribe
NPI 1104038926 · Community/Behavioral Health Agency · Tokeland, WA
Shoalwater Bay Indian Tribe is a Community/Behavioral Health Agency organization in Tokeland, WA (NPI 1104038926).
Provider details
- NPI number
- 1104038926
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Carol Johnson, Tribal Admistrator(360) 267-6766
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2373 Old Tokeland Rd
Tokeland, WA 98590
Phone: (360) 267-3408
Fax: (360) 267-1127
Street-level locationGet directions
Mailing address
Po Box 500
Tokeland, WA 98590-0500
Other names (DBA / former)
- Doing business as
- Shoalwater Bay Tribal Clinic
Registry dates
- Enumerated
- 2007-05-04
- Last updated
- 2020-08-22
Frequently asked questions
- What is Shoalwater Bay Indian Tribe's NPI number?
- Shoalwater Bay Indian Tribe's National Provider Identifier (NPI) is 1104038926, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shoalwater Bay Indian Tribe?
- Shoalwater Bay Indian Tribe is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Shoalwater Bay Indian Tribe located?
- Shoalwater Bay Indian Tribe's practice location on file with NPPES is 2373 Old Tokeland Rd, Tokeland, WA 98590.
- What is Shoalwater Bay Indian Tribe's phone number?
- The practice phone number listed in the NPPES registry for Shoalwater Bay Indian Tribe is (360) 267-3408.
- Who is the authorized official for Shoalwater Bay Indian Tribe?
- The authorized official listed on Shoalwater Bay Indian Tribe's NPPES record is Carol Johnson, Tribal Admistrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shoalwater Bay Indian Tribe's NPI active?
- Yes — Shoalwater Bay Indian Tribe's NPI (1104038926) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.