# CONFEDERATED TRIBES OF THE COLVILLE RESERVATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CONFEDERATED TRIBES OF THE COLVILLE RESERVATION
- **Other names:** Colville Tribal Convalescent Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1952429862
- **Legal business name:** CONFEDERATED TRIBES OF THE COLVILLE RESERVATION
- **Authorized official:** GLENDA JO WHITELAW RHIT (OFFICE MANAGER)
- **Authorized official phone:** (509) 634-2877

## Contact information

- **Practice address:** 29 CONVALESCENT CENTER BLVD., NESPELEM, WA 99155-0150
- **Practice address phone:** (509) 634-2877
- **Practice address fax:** (509) 634-2889
- **Mailing address:** PO BOX 150, NESPELEM, WA 99155-0150
- **Mailing address phone:** (509) 634-2877
- **Mailing address fax:** (509) 634-2889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | N764 | WA | Yes |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 06/04/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4176400 | — | WA |