Organization
NEW HEALTH PROGRAMS ASSOCIATION
Active
Other names
NEW Health Colville Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA POE (CREDENTIALING SPECIALIST)
(509) 935-6001
Entity
Organization
Contact information
Practice address
358 N MAIN ST, COLVILLE, WA 99114-2310
(509) 684-1440
(509) 684-1277
Mailing address
PO BOX 808, CHEWELAH, WA 99109-0808
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
—
2042679
—
WA
01
—
80300
L&I
WA
01
—
CE9078
RR MEDICARE
—
Enumeration date
10/28/2014
Last updated
07/18/2023
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