OrganizationActive
Nisqually Indian Tribe
NPI 1730075581 · Public Health or Welfare Agency · Olympia, WA
Provider details
- NPI number
- 1730075581
- Entity type
- Organization
- Primary specialty
- Public Health or Welfare AgencyAgencies
- Parent organization
- Nisqually Indian Tribe
- Organization subpart
- Yes
- Authorized official
- Jeff Smith, Lieutenant(360) 459-9603
Specialties & taxonomies
Agencies
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Practice location
11702 Yelm Hwy Se
Olympia, WA 98513-9109
Phone: (360) 459-9603
Approximate (ZIP-level) locationGet directions
Mailing address
4820 She Nah Num Dr Se
Olympia, WA 98513-9105
Other names (DBA / former)
- Other name
- Nisqually Corrections
Registry dates
- Enumerated
- 2025-06-17
- Last updated
- 2025-06-17
- Certified
- 2025-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.