# CONFEDERATED TRIBES OF THE COLVILLE RESERVATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Speech and Language Program
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568682847
- **Authorized official:** MRS. AMY CHURCH CRCR (REVENUE CYCLE MANAGER)
- **Authorized official phone:** (509) 634-2783

## Contact information

- **Practice address:** 21 COLVILLE STREET, NESPELEM, WA 99155-0150
- **Practice address phone:** (509) 634-2783
- **Practice address fax:** (509) 634-2781
- **Mailing address:** PO BOX 150, NESPELEM, WA 99155-0150
- **Mailing address phone:** (509) 634-2783
- **Mailing address fax:** (509) 634-2781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0700X | Hearing and Speech Clinic/Center | 7119928 | WA | Yes |

## Other

- **Enumeration date:** 04/27/2007
- **Last updated:** 06/23/2026