Organization
CONFEDERATED TRIBES OF THE COLVILLE RESERVATION
Active
Organization
CONFEDERATED TRIBES OF THE COLVILLE RESERVATION
Active
Other names
Maternal Support Services
Organization subpart
No
Provider details
NPI number
Authorized official
AMY CHURCH CRCR (REVENUE CYCLE MANAGER)
(509) 634-2783
Entity
Organization
Contact information
Practice address
21 COLVILLE STREET, NESPELEM, WA 99155-0150
(509) 634-2727
(509) 634-2781
Mailing address
PO BOX 150, NESPELEM, WA 99155-0150
(509) 634-2783
(509) 634-2781
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
7405111
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7405111
—
WA
Enumeration date
04/23/2007
Last updated
06/04/2026
Update your record
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