Muckleshoot Indian Tribe
Clinic/center
17500 Se 392nd St, Auburn
Washington, 98092-9705
253-939-6648 253-887-8737
Muckleshoot Indian Tribe is a Clinic/center in Auburn, Washington. This organization is also known as sub part of Muckleshoot Indian Tribe. It is located at 17500 Se 392nd St, Auburn and it's customer support contact number is 253-939-6648. The authorized person of Muckleshoot Indian Tribe is Ms. Kathleen Goodwin-snyder who is Health Manager of the pharmacy and her contact number is 253-939-6648. Muckleshoot Indian Tribe accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Muckleshoot Indian Tribe is a facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Pharmacy Details:
Muckleshoot Indian Tribe type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Muckleshoot Indian Tribe |
| Type: | Clinic/center |
| Location: | 17500 Se 392nd St, Auburn,
Washington, 98092-9705 |
| Phone: | 253-939-6648 |
| Fax: | 253-887-8737 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Ms. Kathleen Goodwin-snyder |
| Position: | Health Manager |
| Contact Number: | 253-939-6648 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1558448175 |
| Parent Organization: | Muckleshoot Indian Tribe |
| NPI Enumeration Date: | 01 Nov, 2006 |
| NPI Last Update On: | 11 Jan, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Muckleshoot Indian Tribe are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic/center | | | Primary | |
| Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy | | | Secondary | |
Medicare Enrollment:
Muckleshoot Indian Tribe is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5092724286 | O20060417000580 | Muckleshoot Indian Tribe | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 17500 Se 392nd St,
Auburn, Washington |
| Zip: | 98092-9705 |
| Phone Number: | 253-939-6648 |
| Fax Number: | 253-887-8737 |
Patients can reach Muckleshoot Indian Tribe at
17500 Se 392nd St, Auburn, Washington or can
call on customer care at 253-939-6648.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.