Organization
COLVILLE INDIAN HEALTH SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN NANAMKIN (MANAGEMENT ANALYST)
(509) 634-2913
Entity
Organization
Contact information
Practice address
19 LAKES STREET, NESPELEM, WA 99155
(509) 634-2913
(509) 634-2945
Mailing address
PO BOX 71, 19 LAKES STREET, NESPELEM, WA 99155-0071
(509) 634-2913
(509) 634-2946
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
89612
OK
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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