Organization Active NPI

Northeast Tri County Health District

  • Public Health or Welfare Agency
  • Colville, WA
National Provider Identifier
1114099967
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
NORTHEAST TRI COUNTY HEALTH DISTRICT
Practice address
240 E Dominion Ave
Colville, WA 99114-2732
Phone
(509) 684-1301
Fax
(509) 684-1002
NPI assigned
Nov 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carol J Villers
Title
Administrator
Phone
(509) 684-1301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

240 E Dominion Ave
Colville, WA 99114-2732

Mailing address

240 E Dominion Ave
PO Box 270
Colville, WA 99114-2732
Phone (509) 684-1301

Other identifiers 1

IdentifierTypeStateIssuer
7400781MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Northeast Tri County Health District2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114099967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E DOMINION AVE",
            "address_2": "PO BOX 270",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142732",
            "telephone_number": "509-684-1301",
            "fax_number": "509-684-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E DOMINION AVE",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142732",
            "telephone_number": "509-684-1301",
            "fax_number": "509-684-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST TRI COUNTY HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VILLERS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "509-684-1301"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7400781",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.