COLVILLE MEDICAL CENTER PS (NPI# 1295997591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295997591 |
| Entity Type | Organization |
| Organization Name | COLVILLE MEDICAL CENTER PS |
| Other Organization Name | NORTHEAST WASHINGTON MEDICAL GROUP (CMC RHC) |
| Practice Address |
1200 E Columbia Ave Colville WA 99114-3354 |
| Practice Telephone | 5096843701 |
| Practice Fax Number | 5096845817 |
| Mailing Telephone | 5096843701 |
| Mailing Fax Number | 5096845817 |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2010-12-09 |
| Authorized Official Name | DR. RONALD G REHN (CHEIF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5096843701 |
| Authorized Official Credential | DHA, MPA, CMPE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7108749 | 05 |
| Other Name | Type Code |
|---|---|
| NorthEast Washington Medical Group (CMC RHC) | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265402689 | Colville Medical Center Ps | Naturopath | 1200 East Columbia, Colville, WA 99114 | 2006-01-26 |
| 1831351139 | Colville Medical Center Ps | Family Medicine | 1200 E Columbia Ave, Colville, WA 99114-3354 | 2008-06-27 |
| Street Address |
1200 E COLUMBIA AVE |
| City | COLVILLE |
| State | WA |
| Zip Code | 99114-3354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952301483 | Richard C. Lee | Pharmacist | 1200 E Columbia Ave, Colville, WA 99114-3354 | 2005-07-27 |
| 1346856986 | Cheryl Swanson Nelson | Social Worker | 1200 E Columbia Ave, Colville, WA 99114-3354 | 2020-09-18 |
| 1962064683 | Gregory Ian Collin | Registered Nurse | 1200 E Columbia Ave, Colville, WA 99114 | 2019-07-02 |
| 1235605213 | Brianna L Wing | Physician Assistant | 1200 E Columbia Ave, Colville, WA 99114-3354 | 2018-10-17 |
| 1821444704 | Kelly Christine Glidewell | Nurse Practitioner | 1200 E Columbia Ave, Colville, WA 99114-3354 | 2016-05-10 |
| 1528445368 | Kristin Michelle Comstock | Family Medicine | 1200 E Columbia Ave, Colville, WA 99114-3354 | 2015-04-30 |
| 1851778070 | Jill M Neiman | Family Medicine | 1200 E Columbia Ave, Colville, WA 99114-3354 | 2015-04-27 |
| 1568874733 | Katrina Marie Maher | Family Medicine | 1200 E Columbia Ave, Colville, WA 99114 | 2014-05-22 |
| 1649607631 | Richard Jason Cardenas | Physician Assistant | 1200 E Columbia Ave, Colville, WA 99114-3354 | 2013-10-04 |
| 1902242365 | Joseph Cwik | Family Medicine | 1200 E Columbia Ave, Colville, WA 99114-3354 | 2013-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033774799 | Salamia Mikheyeva | Massage Therapist | 697 Gillette Rd., Colville, WA 99114 | 2019-05-07 |
| 1053897694 | Rochelle Diconti | Counselor | 358 E Birch Ave Ste 101, Colville, WA 99114 | 2018-07-17 |
| 1679073928 | Laurel Shull | Massage Therapist | 298 S. Main St., Suite 208, Colville, WA 99114 | 2018-02-13 |
| 1235638123 | Taylor Vanwicklen | Nurse's Aide | 165 E. Hawthorne Ave, Colville, WA 99114 | 2018-02-06 |
| 1932608833 | Sandra Ingram | Registered Nurse | 165 E. Hawthorne Avenue, Colville, WA 99114 | 2018-02-06 |
| 1831451350 | Catherine M Lochner | Occupational Therapist | 1366 Onion Creek Rd., Colville, WA 99114 | 2012-06-11 |
| 1245552215 | Georgia Rae Goot | Hearing Instrument Specialist | 519 S. Main St., Colville, WA 99114 | 2010-02-18 |
| 1801018619 | David W King | Counselor | 165 E Hawthorne Avenue, Colville, WA 99114 | 2007-05-02 |
| 1497976484 | Jack Darrell Esvelt | Dentist | 181 E 1st, Colville, WA 99114 | 2007-05-01 |
| 1730229709 | Carol H Leach | Registered Nurse | 982 E Columbia Ave Ste 201, Colville, WA 99114 | 2007-02-07 |
| Find all providers in zip 99114 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255685822 | Providence Health & Services Washington | Clinic/Center | 1200 E Columbia Ave, Colville, WA 99114-3354 | 2012-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811555931 | Okanogan County Public Hospital Dist No 4 | Clinic/Center | 118 N Whitcomb Ave, Tonasket, WA 98855-8803 | 2019-06-04 |
| 1790204154 | Sunnyside Community Hospital Association | Clinic/Center | 715 N Park Ctr, Selah, WA 98942-1174 | 2017-09-15 |
| 1699215384 | Sunnyside Community Hospital Association | Clinic/Center | 505 W 4th Ave, Toppenish, WA 98948-1615 | 2017-03-01 |
| 1609112739 | Grant County Public Hospital District. No. 1 | Clinic/Center | 8420 Aspi Blvd, Moses Lake, WA 98837-1820 | 2012-12-18 |
| 1801188073 | Jefferson County Public Hospital District No 2 | Clinic/Center | 89 Breaker Ln, Port Ludlow, WA 98365-9766 | 2011-05-06 |
| 1255651907 | Family Care Network Pllc | Clinic/Center | 2511 M Ave Ste A, Anacortes, WA 98221-3897 | 2010-06-04 |
| 1871822676 | Public Hospital District 3 of Pacific County | Clinic/Center | 167 1st Avenue North, Ilwaco, WA 98624-0319 | 2009-12-08 |
| 1720276207 | Richard L. Dickson | Clinic/Center | 481 West E St, Forks, WA 98331 | 2007-10-09 |
| 1316138720 | L. Keith Hanson Pllc | Clinic/Center | 520 W. Indian Avenue, Brewster, WA 98812 | 2007-08-09 |
| 1407055742 | San Juan Healthcare PC | Clinic/Center | 689 Airport Center Dr Suite B, Friday Harbor, WA 98250 | 2007-07-17 |
| 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.