Organization
NEW HEALTH PROGRAMS ASSOCIATION
Active
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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