Organization
NEW HEALTH PROGRAM ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNE M ESTES (BILLING MANAGER CREDENTIALING SPECI)
(509) 935-6001
Entity
Organization
Contact information
Practice address
509 E MAIN AVE, CHEWELAH, WA 99109-8964
(509) 935-6001
(509) 935-4196
Mailing address
PO BOX 808, CHEWELAH, WA 99109-0808
(509) 935-6001
(509) 935-4196
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
J 600317870
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CE9078
RAILROAD MEDICARE
WA
Enumeration date
04/25/2008
Last updated
04/13/2022
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