DEPARTMENT OF HEALTH AND HUMAN SERVICES (NPI# 1265556005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265556005 |
| Entity Type | Organization |
| Organization Name | DEPARTMENT OF HEALTH AND HUMAN SERVICES |
| Other Organization Name | COLVILLE INDIAN HEALTH PHARMACY |
| Practice Address |
29 Nespelem San Poil Street Nespelem WA 99155-0071 |
| Practice Telephone | 5096342900 |
| Practice Fax Number | 5096342990 |
| Mailing Telephone | 5096342900 |
| Mailing Fax Number | 5096342990 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | YVONNE L MISIASZEK (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5096342900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 6021141 | 05 |
| Other Name | Type Code |
|---|---|
| COLVILLE INDIAN HEALTH PHARMACY | Doing Business As Name - Organization |
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|---|---|---|---|---|
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| 1750413027 | Department of Health and Human Services | Public Health or Welfare | 27 W Township St, Fayetteville, AR 72703-2821 | 2007-03-12 |
| 1194844761 | Department of Health and Human Services | Public Health or Welfare | 503 Walnut St, Texarkana, AR 71854-5286 | 2007-03-28 |
| 1508985102 | Department of Health and Human Services | Public Health or Welfare | 1501 Dawson Road, Forrest City, AR 72236 | 2007-03-28 |
| 1659490050 | Department of Health and Human Services | Public Health or Welfare | 503 Walnut St, Texarkana, AR 71854-5286 | 2007-03-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DEPARTMENT OF HEALTH AND HUMAN SERVICES | 131 Coventry St Suite 1013 Room 1015, Hartford, CT 06112-1548 |
| Street Address |
29 NESPELEM SAN POIL STREET |
| City | NESPELEM |
| State | WA |
| Zip Code | 99155-0071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841655727 | Brittany Carden | Counselor | 21 Colville St, Nespelem, WA 99155 | 2015-12-21 |
| 1265855704 | Linda Charlene Bart | Counselor | 19 Sanpoil St, Nespelem, WA 99155 | 2014-02-03 |
| 1811104334 | Lee Vernon Elton | Emergency Medical Technician, Intermediate | 1 Colville Streets, Nespelem, WA 99155 | 2007-05-16 |
| 1063542645 | Colville Indian Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Agency Campus Hwy 155, Nespelem, WA 99155 | 2007-03-06 |
| 1306993662 | Gloria H Angelo | Pharmacist | 29 Nespelem-sanpoil, Agency Campus, Nespelem, WA 99155 | 2007-01-05 |
| 1174607931 | Sandra Lee Nomee | Spec/Tech, Pathology | 29 9th Sanpoil Street, Colville Confederated Tribes Indian Health Services, Nespelem, WA 99155 | 2006-10-25 |
| 1265529598 | Confederated Tribes of The Colville Reservation | Ambulance | 405 10th St, Nespelem, WA 99155 | 2006-10-06 |
| 1316954118 | Jose Javier Gomez | Psychologist | 1 Colville St, Nespelem, WA 99155 | 2006-08-02 |
| 1922038884 | Donald L Sanford | Optometrist | 29 Nespelem/san Poil St, Nespelem, WA 99155 | 2006-07-04 |
| 1639131386 | Larry D Smith | Emergency Medicine | 19 Lakes Street, Nespelem, WA 99155 | 2006-04-06 |
| Find all providers in zip 99155 | ||||
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679607956 | Omak Tribal Health Clinic | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 29 Nespelem Sanpoil St, Nespelem, WA 99155-0071 | 2007-03-16 |
| 1063542645 | Colville Indian Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Agency Campus Hwy 155, Nespelem, WA 99155 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184135808 | Alliance Healthcare Technolgies | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1781 267th Ct Se, Sammamish, WA 98075 | 2017-10-20 |
| 1427171628 | Roger Saux Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1505 Klaookwa Drive, Taholah, WA 98587 | 2007-04-10 |
| 1750411310 | David C Wynecoop Memorial Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Agency Square, Wellpinit, WA 99040 | 2007-03-06 |
| 1487105482 | Native Project Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1803 W Maxwell Ave, Spokane, WA 99201-2831 | 2016-10-14 |
| 1881142214 | Confederated Tribes of The Chehalis Reservation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 21 Niederman Rd, Oakville, WA 98568-8904 | 2016-09-14 |
| 1699184366 | The Native Project | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1803 W Maxwell Ave, Spokane, WA 99201-2831 | 2014-08-07 |
| 1952623027 | Nisqually Indian Tribe | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 4816 She Nah Num Dr Se, Olympia, WA 98513-9105 | 2010-02-17 |
| 1225241581 | Muckleshoot Health and Wellness Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 17500 Se 392nd St, Attn Pharmacy, Auburn, WA 98092-9705 | 2007-05-07 |
| 1184743221 | Lummi Indian Business Council | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2592 Kwina Rd, Bellingham, WA 98226 | 2007-03-28 |
| 1487779369 | Colville Nation Community Health Centers | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 11665 South Highway 21, Keller, WA 99140 | 2007-03-20 |
| 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.