Confederated Tribes of the Colville Reservation

A Medicare group practice based in Nespelem, WA: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 1254332505), with 11 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1254332505The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Skilled Nursing Facility, Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
TX, WA
Enrollments
3
Group size
9 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
9In 4 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20220125000740 TX Part B Supplier - Clinic/Group Practice 1841418977
O20150217002278 WA Part A Provider - Skilled Nursing Facility 1952429862
O20100526000442 WA Part B Supplier - Ambulance Service Supplier 1265529598

NPIs in this group 8

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 11

Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (9).

Sources for this page