COLVILLE MEDICAL CENTER (NPI# 1841288941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841288941 |
| Entity Type | Organization |
| Organization Name | COLVILLE MEDICAL CENTER |
| Other Organization Name | NORTHEAST WASHINGTON MED GROUP PHCY |
| Practice Address |
1200 E Columbia Ave Colville WA 99114-3354 |
| Practice Telephone | 5096847727 |
| Practice Fax Number | 5096847711 |
| Mailing Telephone | 5096847727 |
| Mailing Fax Number | 5096847711 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2012-08-23 |
| Authorized Official Name | JULIE KASCHMITTER (DIR OF PHARMACY) |
| Authorized Official Telephone | 5096847727 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
PHARCF00056735 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 6022735 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4926436 | 01 |
| Other Name | Type Code |
|---|---|
| NORTHEAST WASHINGTON MED GROUP PHCY | Doing Business As Name - Organization |
| 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 | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841677903 | Akers United Drug, Inc. | Pharmacy | 358 N Main St, C/o Colville Community Health Center, Colville, WA 99114 | 2015-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678240 | Washington Institute for Coagulation | Pharmacy | 921 Terry Ave Ste A, Seattle, WA 98104-1239 | 2019-06-19 |
| 1093274458 | Ksr Health Care LLC | Pharmacy | 507 Stevens Avenue, Suite Aaa, Sultan, WA 98294 | 2019-03-15 |
| 1184171704 | Pharmacy Corporation of America | Pharmacy | 18110 Se 34th St Bldg 2, Vancouver, WA 98683-9440 | 2016-09-01 |
| 1770995722 | Healthpoint | Pharmacy | 13030 Military Rd S Ste 206, Tukwila, WA 98168-3080 | 2014-05-27 |
| 1447678875 | Community Health Center of Snohomish County | Pharmacy | 23300 Highway 99, Edmonds, WA 98026-8744 | 2014-04-02 |
| 1982025128 | Seattle Cancer Care Alliance | Pharmacy | 1560 N 115th St Ste G-16a, Seattle, WA 98133-8414 | 2013-12-13 |
| 1598190597 | Sea Mar Community Health Centers | Pharmacy | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2013-09-09 |
| 1326472234 | Lourdes West Pasco Pharmacy | Pharmacy | 7425 Wrigley Dr Ste 104, Pasco, WA 99301-5292 | 2013-08-27 |
| 1386089761 | Unity Care Northwest | Pharmacy | 218 Unity St, Bellingham, WA 98225-4420 | 2013-04-30 |
| 1619205267 | Puget Sound Pharmacy LLC | Pharmacy | 1112 6th Ave Ste 101, Tacoma, WA 98405-4048 | 2009-11-19 |
| 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.