Organization
DSSH IHS COLVILLE SERVICE UNIT
Active
Other names
Colville Indian Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
KAROL PARKER (CHIEF EXECUTIVE OFFICER)
(509) 634-2933
Entity
Organization
Contact information
Practice address
19 LAKES STREET, NESPELEM, WA 99155-0071
(509) 634-2900
(509) 634-2990
Mailing address
PO BOX 71, NESPELEM, WA 99155-0071
(509) 634-2900
(509) 634-2990
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
Primary
R32809
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7139660
—
WA
Enumeration date
11/19/2009
Last updated
11/19/2009
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