Provider Demographics
NPI:1427241744
Name:SOPHIE TRETTEVICK INDIAN HEALTH CENTER
Entity type:Organization
Organization Name:SOPHIE TRETTEVICK INDIAN HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HITCHINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-645-2536
Mailing Address - Street 1:PO BOX 410
Mailing Address - Street 2:100 WELLNESS WAY
Mailing Address - City:NEAH BAY
Mailing Address - State:WA
Mailing Address - Zip Code:98357
Mailing Address - Country:US
Mailing Address - Phone:360-645-2461
Mailing Address - Fax:360-645-3343
Practice Address - Street 1:100 WELLNESS WAY
Practice Address - Street 2:
Practice Address - City:NEAH BAY
Practice Address - State:WA
Practice Address - Zip Code:98357
Practice Address - Country:US
Practice Address - Phone:360-645-2461
Practice Address - Fax:360-645-3343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health