Organization
NEW HEALTH PROGRAMS ASSOCIATION
Active
Organization
NEW HEALTH PROGRAMS ASSOCIATION
Active
Other names
NEW Health Springdale Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA POE (CREDENTIALING SPECIALIST)
(509) 935-6001
Entity
Organization
Contact information
Practice address
114 S MAIN, SPRINGDALE, WA 99173
(509) 258-4234
(509) 258-4499
Mailing address
PO BOX 808, CHEWELAH, WA 99109-0808
(509) 935-6001
(509) 935-4196
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
J600317870
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7034127
—
WA
05
—
7034465
—
WA
01
—
80300
LABOR AND INDUSTRIES ID
WA
01
—
CE9078
RR MEDICARE PIN
WA
Enumeration date
04/17/2006
Last updated
07/18/2023
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