| Colville Indian Health Service | |
|
19 Lakes Street Nespelem WA 99155 | |
| (509) 634-2913 | |
| (509) 634-2945 |
| Full Name | Colville Indian Health Service |
|---|---|
| Speciality | Clinic/center |
| Location | 19 Lakes Street, Nespelem, Washington |
| Authorized Official Name and Position | Brian Nanamkin (MANAGEMENT ANALYST) |
| Authorized Official Contact | 5096342913 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colville Indian Health Service Po Box 71 19 Lakes Street Nespelem WA 99155-0071 Ph: (509) 634-2913 | Colville Indian Health Service 19 Lakes Street Nespelem WA 99155 Ph: (509) 634-2913 |
| NPI Number | 1568810885 |
|---|---|
| Provider Enumeration Date | 05/26/2016 |
| Last Update Date | 05/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568810885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 89612 (Oklahoma) | Primary |
Colville Indian Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 Lakes Street, Nespelem, WA 99155 Phone: 509-634-2900 Fax: 509-634-2990 | |
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 |