Organization
NEW HEALTH PROGRAM ASSOCIATION
Active
Organization
NEW HEALTH PROGRAM ASSOCIATION
Active
Other names
NEW Health Springdale Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA POE (CREDENTIALING SPECIALIST)
(509) 935-6001
Entity
Organization
Contact information
Practice address
105 N SECOND ST, SPRINGDALE, WA 99173
(509) 258-7543
(509) 258-7524
Mailing address
PO BOX 808, CHEWELAH, WA 99109-0808
(509) 935-6001
(509) 935-4196
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
J600317870
WA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
07/18/2023
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