Organization
COLVILE NATIONS COMMUNITY HEALTH CENTERS
Active
Other names
CNCHC Inchelium Community Health Center Pharmacy, LAKE ROOSEVELT COMMUNITY HEALTH CENTERS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TOM SARGENT (CHIEF FINANCIAL OFFICER)
(509) 722-7637
Entity
Organization
Contact information
Practice address
39 SHORTCUT ROAD, INCHELIUM, WA 99138-0290
(509) 722-7006
(509) 722-3652
Mailing address
39 SHORTCUT ROAD, PO BOX 290, INCHELIUM, WA 99138-0290
(509) 722-7006
(509) 722-3652
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6008767
—
WA
Enumeration date
03/20/2007
Last updated
01/09/2023
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