The clinic had 1,876 primary care patient visits and 7,919 other patient visits for a total of 9,795 patient visits for FY00. The clinic bills private insurance, Medicare and Medicaid payers. The Muckleshoot Tribe contracts under the 413 amendments of PL 93-638 for it’s area and headquarter shares. The program is operated under a PL 93-638, Title 1 contact with the Indian Health Service. There is 3,920 square feet of medical/pharmacy space. The Muckleshoot Health and Wellness Center in Auburn WA is a Tribal clinic located in a rural community on the Muckleshoot Indian Reservation.