Organization
DHHS IHS COLVILLE SERVICE UNIT
Active
Other names
Colville Indian Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YVONNE MISIASZEK (CHIEF EXECUTIVE OFFICER)
(509) 634-2900
Entity
Organization
Contact information
Practice address
19 LAKES ST, NESPELEM, WA 99155-0071
(509) 634-2900
(509) 634-2990
Mailing address
19 LAKES ST, NESPELEM, WA 99155-0071
(509) 634-2900
(509) 634-2990
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5400189
—
WA
05
—
7100100
—
WA
05
—
7139660
—
WA
Enumeration date
09/11/2006
Last updated
05/19/2008
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