| New Health Colville Medical | |
|
358 N Main St Colville WA 99114-2310 | |
| (509) 684-1440 | |
| (509) 684-1277 |
| Full Name | New Health Colville Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 358 N Main St, Colville, Washington |
| Authorized Official Name and Position | Donna Poe (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5099356001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Health Colville Medical Po Box 808 Chewelah WA 99109-0808 Ph: () - | New Health Colville Medical 358 N Main St Colville WA 99114-2310 Ph: (509) 684-1440 |
| NPI Number | 1275938672 |
|---|---|
| Provider Enumeration Date | 10/28/2014 |
| Last Update Date | 07/18/2023 |
| Medicare PECOS PAC ID | 1951202373 |
|---|---|
| Medicare Enrollment ID | O20150825004301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275938672 | NPI | - | NPPES |
| 80300 | Other | WA | L&I |
| 2042679 | Medicaid | WA | |
| CE9078 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | J600317870 (Washington) | Primary |
Providence North East Washington Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 E Columbia Ave, Colville, WA 99114 Phone: 509-474-2072 | |
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Northeast Washington Medical Group (cmc Rhc) Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 E Columbia Ave, Colville, WA 99114 Phone: 509-684-3701 Fax: 509-684-5817 | |
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