COLVILLE NATION COMMUNITY HEALTH CENTER


Address: 39 Short Cut Rd, Inchelium, WA 99138
Phone: 5097227006

COLVILLE NATION COMMUNITY HEALTH CENTER (NPI# 1043264054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043264054
Entity Type Organization
Organization Name COLVILLE NATION COMMUNITY HEALTH CENTER
Practice Address 39 Short Cut Rd
Inchelium
WA 99138
Mailing Address Po Box 290
Inchelium
WA 99138-0290
Practice Telephone 5097227006
Mailing Telephone 5097227006
Mailing Fax Number 5097227021
Enumeration Date 2006-05-22
Last Update Date 2020-08-22
Authorized Official Name MR. PHILIP R. ARNOLD (HEALTH MANAGER / EXECUTIVE DIRECTOR)
Authorized Official Telephone 5097227610
Authorized Official Credential MBA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Office Location

Street Address 39 SHORT CUT RD
City INCHELIUM
State WA
Zip Code 99138

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912557240 Arielle Anastasia Cawston Dental Therapist 39 Short Cut Rd, Inchelium, WA 99138 2019-09-18
1053821124 Patrick Finley Jr. Technician, Other 39 Short Cut Rd, Inchelium, WA 99138-0290 2017-10-03
1225382641 Molly Beth Henning Registered Nurse 39 Short Cut Rd, Inchelium, WA 99138-0290 2012-11-07
1760752661 Rebecca A Shaffer Emergency Medical Technician, Basic 39 Short Cut Rd, Inchelium, WA 99138 2012-01-09
1558555821 Thomas B Johnson Dentist 39 Short Cut Rd, Inchelium, WA 99138 2007-08-30
1699983015 Jennifer Barr-clendennen Emergency Medical Technician, Intermediate 39 Short Cut Rd, Inchelium, WA 99138-0290 2007-05-18
1528174372 Maria Teresa Ouano Trevino Family Medicine 39 Short Cut Rd, Inchelium, WA 99138-0290 2006-08-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417597360 Shannon Marie Dripps Registered Nurse 39 Shortcut Rd., Inchelium, WA 99138 2020-01-08
1427612597 Angela L Mcclain Nurse Practitioner 3052 Bridge Creek Rd, Inchelium, WA 99138 2019-04-24
1033411830 Tanya Marie Mason Registered Nurse 39 Shortcut Rd, Inchelium, WA 99138 2010-11-30
1699951236 Gary S May Dentist 39 Shorrtcut Rd, 290 Ox, Inchelium, WA 99138 2008-01-14
1902948862 Diane Carol Mills Registered Nurse 36 Shortcut Road, Inchelium, WA 99138 2007-02-13
1487665386 Inchelium School District #70 Local Education Agency (LEA) 1 Hornet Ave, Inchelium, WA 99138 2006-08-10
1245248384 Lorrie June Dawson Nurse Practitioner 39 Shortcut Road, Inchelium, WA 99138 2006-08-04
1578188165 Thomas Lilly Social Worker 39 Shortcut Road, Inchelium, WA 99138 2020-06-10
1336771674 Ashley Evelyn Taylor Dentist 39 Shortcut Road, Inchelium, WA 99138 2020-02-05
1629544457 David Colvin Nurse Practitioner 39 Shortcut Rd, Inchelium, WA 99138 2018-10-19
Find all providers in zip 99138

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497870372 Confederate Tribes of The Colville Reservation Clinic/Center 39 Shortcut Road, Inchelium, WA 99138-0290 2007-03-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447869342 Unity Care Northwest Clinic/Center 6046 Portal Way Ste 202, Ferndale, WA 98248-7829 2020-07-27
1881219426 Healthpoint Clinic/Center 2902 Ne 12th St Ste 102, Renton, WA 98056-3126 2020-06-09
1235778812 Seattle Indian Health Board Clinic/Center 410 2nd Avenue Ext S, Seattle, WA 98104-2876 2019-12-31
1376185694 Neighborcare Health Clinic/Center 2709 3rd Ave, Seattle, WA 98121-1217 2019-10-09
1295383958 King County Finance Clinic/Center 908 Jefferson St Fl 11, Seattle, WA 98104-2433 2019-08-27
1063069839 Sea-mar Community Health Center Clinic/Center 6004 Capitol Boulevard Southwest, Tumwater, WA 98501-8520 2019-08-26
1194379354 Yakima Neighborhood Health Services Clinic/Center 201 S 6th St, Yakima, WA 98901-2928 2019-07-26
1881254449 Neighborcare Health Clinic/Center 7101 62nd Ave Ne Ste 4, Seattle, WA 98115-7168 2019-06-17
1578028866 Neighborcare Health Clinic/Center 2119 3rd Ave, Seattle, WA 98121-2333 2019-01-31
1144703885 Healthpoint Clinic/Center 219 State Ave N, Ste 100, Kent, WA 98030 2018-09-10
Find all providers with the same taxonomy

Competitor

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City INCHELIUM
Zip Code 99138

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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