NPIMap

Organization Active NPI

DSSH IHS Colville Service Unit

Doing business as Colville Indian Health Center

  • Federal Public Health Clinic/Center
  • Nespelem, WA
National Provider Identifier
1174851737
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federal Public Health Clinic/CenterTaxonomy code 261QP0904X
License
R32809 Issued in ND
Legal business name
DSSH IHS COLVILLE SERVICE UNIT
Doing business as
Colville Indian Health Center
Practice address
19 Lakes Street
Nespelem, WA 99155-0071
Phone
(509) 634-2900
Fax
(509) 634-2990
NPI assigned
Nov 19, 2009
Last updated
Nov 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Authorized official

Name
Karol Parker
Title
Chief Executive Officer
Phone
(509) 634-2933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federal Public Health Clinic/Center 261QP0904X R32809 ND Primary

Addresses

Primary practice location

19 Lakes Street
Nespelem, WA 99155-0071

Mailing address

PO Box 71
Nespelem, WA 99155-0071
Phone (509) 634-2900

Other identifiers 1

IdentifierTypeStateIssuer
7139660MedicaidWA

Other names 1

  • Colville Indian Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
DHHS IHS Colville SVC Unit5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1174851737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71",
            "city": "NESPELEM",
            "state": "WA",
            "postal_code": "991550071",
            "telephone_number": "509-634-2900",
            "fax_number": "509-634-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 LAKES STREET",
            "city": "NESPELEM",
            "state": "WA",
            "postal_code": "991550071",
            "telephone_number": "509-634-2900",
            "fax_number": "509-634-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DSSH IHS COLVILLE SERVICE UNIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "KAROL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "509-634-2933"
    },
    "taxonomies": [
        {
            "code": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": "ND",
            "license": "R32809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7139660",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colville Indian Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 19, 2009; 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.