Organization
NORTHEAST TRI COUNTY HEALTH DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A WINDOM (ADMINISTRATOR)
(509) 684-1301
Entity
Organization
Contact information
Practice address
240 E DOMINION AVE, COLVILLE, WA 99114-2732
(509) 684-1301
(509) 684-1002
Mailing address
240 E DOMINION AVE, COLVILLE, WA 99114-2732
(509) 684-1301
(509) 684-1002
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004869
—
WA
01
—
G319000008
PTAN
WA
Enumeration date
11/15/2006
Last updated
02/03/2015
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