Organization
COLVILLE NATION COMMUNITY HEALTH CENTERS
Active
Other names
LAKE ROOSEVELT COMMUNITY HEALTH CENTERS, Confederated Tribes of the Colville Reservation, INCHELIUM CLINIC, Inchelium Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SUE BURKHART (BILLER)
(509) 722-7006
Entity
Organization
Contact information
Practice address
39 SHORTCUT ROAD, INCHELIUM, WA 99138-0290
(509) 722-7006
(509) 722-7021
Mailing address
PO BOX 290, INCHELIUM, WA 99138-0290
(509) 722-7006
(509) 722-7021
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
03/19/2007
Last updated
06/16/2018
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