Nooksack Central Management System
Nooksack Central Management System is a healthcare organization registered as Family Medicine Physician in Everson, WA, holding Type 2 (organization) NPI 1568528842 since 2006. The authorized official on file is John Duncan, Nit Controller.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1568528842 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Nooksack Central Management System |
| Other name | <Unavail> |
| Practice address | 6760 MISSION RD, Everson, WA, 98247 |
| Phone | 3609662106 |
| Fax | 3609667227 |
| Enumeration date | 2006-12-29 |
| Last updated in NPPES | 2009-03-02 |
Authorized official
| Name | John Duncan |
|---|---|
| Title | Nit Controller |
| Phone | 3602962315 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0170843 | Other | WA | LABOR & INDUSTRIES |
| 7084346 | Medicaid | WA | — |
Copy-ready billing details
Provider: Nooksack Central Management System NPI: 1568528842 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 6760 MISSION RD, Everson, WA, 98247
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1366433864 | Kathleen Puderbaugh | Individual | Women's Health Nurse Practitioner | Everson, WA |
| 1841351285 | Randall Moore | Individual | Family Medicine Physician | Everson, WA |
| 1891843769 | Nooksack Dental Clinic | Organization | Dentist | Everson, WA |
| 1932257144 | Mary Shields | Individual | Pediatrics Physician | Everson, WA |
| 1760517726 | Aamer Khan | Individual | Psychologist | Everson, WA |
| 1578778189 | Nooksack Central Management System | Organization | Mental Health Counselor | Everson, WA |
| 1699967265 | Nooksack Indian Tribe | Organization | Dentist | Everson, WA |
| 1790978229 | Cathie Diller | Individual | Family Medicine Physician | Everson, WA |
Verify this record
Cross-check NPI 1568528842 against the authoritative CMS record: view Nooksack Central Management System on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Nooksack Central Management System located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-03-02.