Colville Nation Community Health Centers
A Medicare group practice based in Inchelium, WA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8820363716), with 22 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8820363716
- Provider type
- Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
- Enrolled in
- TX, WA
- Enrollments
- 2
- Group size
- 12 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20171003004646 | WA | Part A Provider - Federally Qualified Health Center (FQHC) | 1679697155 |
| O20180208001598 | TX | Part B Supplier - Clinic/Group Practice | 1043335961 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Colville Nation Community Health Centers
dba Lake Roosevelt Community Health Centers
- Federally Qualified Health Center (FQHC)
- Inchelium, WA
- NPI 1043335961
-
Colville Nation Community Health Centers
dba Lake Roosevelt Community Health Centers
- Federally Qualified Health Center (FQHC)
- Inchelium, WA
- NPI 1679697155
Practice locations
- Inchelium, WA2
- Keller, WA1
Clinicians 22
Clinicians who reassign their Medicare benefits to this group (20) or whom Care Compare lists as members (12).
-
Laura J. Baehner, M.D.
- Psychiatry Physician
- Spokane, WA
- NPI 1003990516
-
David Colvin, ARNP
- Family Nurse Practitioner
- Inchelium, WA
- NPI 1629544457
-
Lorrie June Dawson, BS,MS,PHD, ARNP-BC
- Nurse Practitioner
- Inchelium, WA
- NPI 1245248384
-
Steven Daniel Edwards, L.C.S.W.
- Clinical Social Worker
- Salt Lake City, UT
- NPI 1457331605
-
Mark A. Hoover, M.D.
- Family Medicine Physician
- Moses Lake, WA
- NPI 1154361335
-
Hilary Hopkins, O.D.
- Optometrist
- Spokane, WA
- NPI 1467834614
-
Gil Ilustre Javelosa Jr., PT
- Physical Therapist
- Beaverton, OR
- NPI 1891075560
-
Kimberlyn Ann Johnstone, M.D.
- Family Medicine Physician
- Chewelah, WA
- NPI 1528128907
-
Robin Kenning, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Tukwila, WA
- NPI 1700215225
-
Tammy Elaine Lewis, P.T.
- Physical Therapist
- Kettle Falls, WA
- NPI 1558522169
-
Sara Ann Martin-Washo, ARNP, RN, RPSGT, RRT
- Family Nurse Practitioner
- Inchelium, WA
- NPI 1679973937
-
Forrest G McGriff, ARNP
- Family Nurse Practitioner
- Longview, WA
- NPI 1538147764
-
April M McKenna, DPM
- Podiatrist
- Colville, WA
- NPI 1417945528
-
Deborah A Montowski, MD
- Family Medicine Physician
- Colville, WA
- NPI 1093703100
-
Dru Louis Rodriguez, DPM
- Podiatrist
- Spokane, WA
- NPI 1144262247
-
Jenna Russell, PT, DPT, CLT
- Physical Therapist
- Inchelium, WA
- NPI 1750108510
-
Narciso Salvoro Sardual, RPT
- Physical Therapist
- Orlando, FL
- NPI 1295095305
-
Susan Dawn Solomon-Hopkins, APRN
- Family Nurse Practitioner
- Inchelium, WA
- NPI 1447956479
-
Shad Burnett St Paul, MSW, SUDP, LICSW
- Clinical Social Worker
- Inchelium, WA
- NPI 1033503107
-
Rebecca Stillwell, AP 60897709
- Nurse Practitioner
- Inchelium, WA
- NPI 1639638372
-
Maria Teresa Ouano Trevino, MD
- Family Medicine Physician
- Inchelium, WA
- NPI 1528174372
-
Rita Lynn Warner, PHYSICIAN ASSISTANT
- Medical Physician Assistant
- Hayden, ID
- NPI 1306826862
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.