Organization
CONFEDERATE TRIBES OF THE COLVILLE RESERVATION
Active
Organization
CONFEDERATE TRIBES OF THE COLVILLE RESERVATION
Active
Other names
Lake Roosevelt Community Health Centers, CNCHC Inchelium Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
AMY CHURCH (REVENUE CYCLE DIRECTOR)
(509) 634-2783
Entity
Organization
Contact information
Practice address
39 SHORTCUT ROAD, INCHELIUM, WA 99138-0290
(509) 722-7006
(509) 722-7021
Mailing address
39 SHORTCUT ROAD, PO BOX 290, INCHELIUM, WA 99138-0290
(509) 722-7006
(509) 722-7021
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7085426
—
WA
Enumeration date
03/20/2007
Last updated
06/23/2026
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