| Colville Indian Health Center | |
|
19 Lakes Street Nespelem WA 99155-0071 | |
| (509) 634-2900 | |
| (509) 634-2990 |
| Full Name | Colville Indian Health Center |
|---|---|
| Speciality | Clinic/center - Public Health, Federal |
| Location | 19 Lakes Street, Nespelem, Washington |
| Authorized Official Name and Position | Karol Parker (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5096342933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colville Indian Health Center Po Box 71 Nespelem WA 99155-0071 Ph: (509) 634-2900 | Colville Indian Health Center 19 Lakes Street Nespelem WA 99155-0071 Ph: (509) 634-2900 |
| NPI Number | 1174851737 |
|---|---|
| Provider Enumeration Date | 11/19/2009 |
| Last Update Date | 11/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174851737 | NPI | - | NPPES |
| 7139660 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0904X | Clinic/center - Public Health, Federal | R32809 (North Dakota) | Primary |
Colville Indian Health Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 Lakes Street, Nespelem, WA 99155 Phone: 509-634-2913 Fax: 509-634-2945 | |
Colville Indian Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19 Lakes St, Nespelem, WA 99155 Phone: 509-634-2900 Fax: 509-634-2990 |