Organization
CONFEDERATED TRIBES OF THE COLVILLE RESERVATION
Active
Parent organization
CONFEDERATED TRIBES OF THE COLVILLE RESERVATION
Other names
Colville Tribal Convalescent Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONFEDERATED TRIBES OF THE COLVILLE RESERVATION
Authorized official
GLENDA JO WHITELAW RHIT (OFFICE MANAGER)
(509) 634-2877
Entity
Organization
Contact information
Practice address
29 CONVALESCENT CENTER BLVD., NESPELEM, WA 99155-0150
(509) 634-2877
(509) 634-2889
Mailing address
PO BOX 150, NESPELEM, WA 99155-0150
(509) 634-2877
(509) 634-2889
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N764
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4176400
—
WA
Enumeration date
03/27/2007
Last updated
03/25/2026
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