Organization
COLVILLE MEDICAL CENTER PS
Active
Other names
Northeast Washington Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD G REHN MPA CMPE (CHIEF EXECUTIVE OFFICER)
(509) 684-3701
Entity
Organization
Contact information
Practice address
1200 EAST COLUMBIA, COLVILLE, WA 99114
(509) 684-3701
(509) 684-5817
Mailing address
1200 EAST COLUMBIA, COLVILLE, WA 99114
(509) 684-3701
(509) 684-5817
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
—
—
207RI0008X
Hepatology Physician
—
—
207U00000X
Nuclear Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401930001
MEDICARE NCS
WA
01
—
50500
L&I
WA
05
—
7147903
—
WA
01
—
8904105
L&I CRIME VICTIMS
WA
01
—
CS6535
TRAVELERS RAILROAD MEDICARE
WA
Enumeration date
01/26/2006
Last updated
05/14/2008
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