NPIMap

Organization Active NPI

Colville Confederated Tribes

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nespelem, WA
National Provider Identifier
1174625446
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COLVILLE CONFEDERATED TRIBES
Practice address
1 Colville Street
Nespelem, WA 99155-0150
Phone
(509) 634-2433
Fax
(509) 634-2781
NPI assigned
Sep 5, 2006
Last updated
Jun 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Amy Church
Title
Revenue Cycle Manager
Phone
(509) 634-2783

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

1 Colville Street
Nespelem, WA 99155-0150

Mailing address

PO Box 150
Nespelem, WA 99155-0150
Phone (509) 634-2433

Other identifiers 1

IdentifierTypeStateIssuer
8027476MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Confederated Tribes of the Colville Reservation16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1174625446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150",
            "city": "NESPELEM",
            "state": "WA",
            "postal_code": "991550150",
            "telephone_number": "509-634-2433",
            "fax_number": "509-634-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COLVILLE STREET",
            "city": "NESPELEM",
            "state": "WA",
            "postal_code": "991550150",
            "telephone_number": "509-634-2433",
            "fax_number": "509-634-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLVILLE CONFEDERATED TRIBES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "509-634-2783"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8027476",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nespelem, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.