| Confederate Tribes Of The Colville Reservation | |
|
39 Shortcut Road Inchelium WA 99138-0290 | |
| (509) 722-7006 | |
| (509) 722-7021 |
| Full Name | Confederate Tribes Of The Colville Reservation |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 39 Shortcut Road, Inchelium, Washington |
| Authorized Official Name and Position | Thomas Richard Berg (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5097227006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Confederate Tribes Of The Colville Reservation 39 Shortcut Road Po Box 290 Inchelium WA 99138-0290 Ph: (509) 722-7006 | Confederate Tribes Of The Colville Reservation 39 Shortcut Road Inchelium WA 99138-0290 Ph: (509) 722-7006 |
| NPI Number | 1497870372 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 07/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497870372 | NPI | - | NPPES |
| 7085426 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Colville Nation Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 39 Short Cut Rd, Inchelium, WA 99138 Phone: 509-722-7006 | |
Colville Nation Community Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 39 Shortcut Road, Inchelium, WA 99138 Phone: 509-722-7006 Fax: 509-722-3652 | |
Lake Roosevelt Community Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 39 Short Cut Road, Inchelium, WA 99138 Phone: 509-722-7610 | |
Colville Nation Community Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 39 Shortcut Road, Inchelium, WA 99138 Phone: 509-722-7006 Fax: 509-722-7021 |