COLVILLE NATION COMMUNITY HEALTH CENTERS (NPI# 1487779369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487779369 |
| Entity Type | Organization |
| Organization Name | COLVILLE NATION COMMUNITY HEALTH CENTERS |
| Other Organization Name | CNCHC SANPOIL VALLY COMMUNITY HEALTH CENTER |
| Practice Address |
11665 South Highway 21 Keller WA 99140 |
| Mailing Address |
P.o. Box 290 Inchelium WA 99140-0290 |
| Practice Telephone | 5096347300 |
| Practice Fax Number | 5097227021 |
| Mailing Telephone | 5096347300 |
| Mailing Fax Number | 5097227021 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | SUE BURKHART (BILLER) |
| Authorized Official Telephone | 5097227006 |
| 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 |
| Other Name | Type Code |
|---|---|
| CNCHC SANPOIL VALLY COMMUNITY HEALTH CENTER | Other Name - Individual/Organization |
| LAKE ROOSEVELT COMMUNITY HEALTH CENTERS PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043335961 | Colville Nation Community Health Centers | Clinic/Center | 11665 South Highway 21, Keller, WA 99140 | 2007-03-20 |
| 1679697155 | Colville Nation Community Health Centers | Clinic/Center | 39 Shortcut Road, Inchelium, WA 99138-0290 | 2007-03-19 |
| Street Address |
11665 SOUTH HIGHWAY 21 |
| City | KELLER |
| State | WA |
| Zip Code | 99140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043335961 | Colville Nation Community Health Centers | Clinic/Center | 11665 South Highway 21, Keller, WA 99140 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982102315 | Clara Ann Carson | Registered Nurse | Po Box 275, Keller, WA 99140-0275 | 2018-01-31 |
| 1144323270 | Keller School District | Local Education Agency (LEA) | 17 South School Rd, Keller, WA 99140-0367 | 2006-09-06 |
| 1780063263 | Sheri Gray | Registered Nurse | 12120 S Highway 21, Keller, WA 99140-9514 | 2015-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447669 | Jorge Piedra | Pharmacist | 1542 Treehouse Ln S, Keller, TX 76262-8949 | 2020-11-03 |
| 1609475557 | Neyssa Liz Encarnacion | Massage Therapist | 200 N Rufe Snow Dr Ste 121, Keller, TX 76248-4239 | 2020-10-21 |
| 1952908287 | Emilia Pullis | Occupational Therapist | 1502 Sarah Brooks Dr, Keller, TX 76248-2008 | 2020-10-09 |
| 1346855111 | Jenna Brooke Jennings | Occupational Therapist | 630 Stoneglen Dr, Keller, TX 76248-1316 | 2020-09-09 |
| 1295340131 | Huy Thanh Dong | Dentist | 1309 Cadbury Ln, Keller, TX 76248-7205 | 2020-09-08 |
| 1538773510 | Aum Nitin Patel | Optometrist | 12584 N Beach Street #122, Keller, TX 76244 | 2020-09-07 |
| 1598379943 | Stefanie Long | Physical Therapist | 704 Creek Bluff Dr, Keller, TX 76248-6834 | 2020-09-03 |
| 1003429671 | Edith Lamira Odiwo | Nurse Practitioner | 9908 Croswell St, Keller, TX 76244-2098 | 2020-08-25 |
| 1013527779 | James Michael Varnell | Pharmacist | 1900 Silkwood Ct, Keller, TX 76248-8471 | 2020-08-06 |
| 1316556145 | Tyler Woodall | Counselor | 1668 Keller Parkway, Suite 200, Keller, TX 76248 | 2020-07-28 |
| Find all providers in KELLER | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1265556005 | Department of Health and Human Services | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 29 Nespelem San Poil Street, Nespelem, WA 99155-0071 | 2007-03-19 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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.