COLVILLE NATION COMMUNITY HEALTH CENTERS NPI 1043335961

NPI Information

NPI: 1043335961
Provider Name: COLVILLE NATION COMMUNITY HEALTH CENTERS

Other Name: CNCHC SANPOIL VALLEY COMMUNITY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
39 SHORTCUT ROAD
INCHELIUM, WA
ZIP 99138
Phone: (509) 722-7006
Get Directions

COLVILLE NATION COMMUNITY HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Inchelium, WA. COLVILLE NATION COMMUNITY HEALTH CENTERS NPI is 1043335961. The provider is registered as an organization entity type.
The provider Other Name Is Cnchc Sanpoil Valley Community Health Center.

The provider's business location address is:

39 SHORTCUT ROAD
INCHELIUM, WA
ZIP 99138
Phone: (509) 722-7006
Fax: (509) 722-3652

The provider's authorized official is Tom Sargent .
The authorized official title is Chief Financial Officer and has the following contact phone number (509) 722-7637.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 1/5/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261Q00000X	Clinic/Center		No
2	261QD0000X	Clinic/Center	Dental	No
3	261QR1300X	Clinic/Center	Rural Health	No
4	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	2085257	MEDICAID	WASHINGTON
2	2085258	MEDICAID	WASHINGTON
3	2085645	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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