Organization
COLVILLE NATION COMMUNITY HEALTH CENTERS
Active
Other names
CONFEDERATED TRIBES OF THE COLVILLE RESERVATION, LAKE ROOSEVELT COMMUNITY HEALTH CENTERS, CNCHC SANPOIL VALLEY COMMUNITY HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
TOM SARGENT (CHIEF FINANCIAL OFFICER)
(509) 722-7637
Entity
Organization
Contact information
Practice address
39 SHORTCUT ROAD, INCHELIUM, WA 99138
(509) 722-7006
(509) 722-3652
Mailing address
PO BOX 290, INCHELIUM, WA 99138-0290
(509) 722-7006
(509) 722-3652
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2085257
—
WA
05
—
2085258
—
WA
05
—
2085645
—
WA
Enumeration date
03/20/2007
Last updated
01/05/2023
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