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Organization
CONFEDERATED TRIBES OF THE COLVILLE RESERVATION
Active
Organization
CONFEDERATED TRIBES OF THE COLVILLE RESERVATION
Active
Other names
Colville Tribal Health Authority Omak
Organization subpart
No
Provider details
NPI number
Authorized official
AMY CHURCH CRCR (REVENUE CYCLE MANAGER)
(509) 634-2783
Entity
Organization
Contact information
Practice address
4 SIYA ROAD, OMAK, WA 98841
(509) 634-1015
Mailing address
PO BOX 150, NESPELEM, WA 99155-0150
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
NULL
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
NULL
Other
Enumeration date
06/12/2025
Last updated
06/04/2026
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