Organization
COLVILLE MEDICAL CENTER PS
Active
Organization
COLVILLE MEDICAL CENTER PS
Active
Other names
NorthEast Washington Medical Group (CMC RHC)
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD G REHN DHA, MPA, CMPE (CHEIF EXECUTIVE OFFICER)
(509) 684-3701
Entity
Organization
Contact information
Practice address
1200 E COLUMBIA AVE, COLVILLE, WA 99114-3354
(509) 684-3701
(509) 684-5817
Mailing address
1200 E COLUMBIA AVE, COLVILLE, WA 99114-3354
(509) 684-3701
(509) 684-5817
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7108749
—
WA
Enumeration date
06/27/2008
Last updated
12/09/2010
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