Organization
OMAK TRIBAL HEALTH CLINIC
Active
Other names
DHHS IHS COLVILLE SERVICE UNIT
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE IVERSON (CHIEF EXECUTIVE OFFICER)
(509) 634-2900
Entity
Organization
Contact information
Practice address
617 BENTON STREET, OMAK, WA 98841-0962
(509) 634-2900
(509) 634-2990
Mailing address
PO BOX 71, NESPELEM, WA 99155-0071
(509) 634-2900
(509) 634-2990
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6026850
—
WA
Enumeration date
02/08/2007
Last updated
08/25/2025
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