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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Street Address |
39 SHORT CUT RD |
City | INCHELIUM |
State | WA |
Zip Code | 99138 |
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 |
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 Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497870372 | Confederate Tribes of The Colville Reservation | Clinic/Center | 39 Shortcut Road, Inchelium, WA 99138-0290 | 2007-03-20 |
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---|---|---|---|---|
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 |
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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.