Northeast Tri County Health District

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

Organization subpart

No

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

Authorized official

Name

David A Windom

Title

Administrator

Phone

(509) 684-1301

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1205908050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "WINDOM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "509-684-1301"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "G319000008",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004869",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beck Nickel, N.D.
• Cynthia K Nielsen
• David M Nielsen, PH D
• Joshua Michael Norris, SUDP-T
• Northeast Tri County Health District
• Northeast Tri County Health District
• Northeast Washington Alliance Counseling
• Northeast Washington Alliance Counseling Services
• Northeast Washington Alliance Counseling Services
• Northeast Washington Family Counseling, P.S.

• Public Health or Welfare Agency in Colville, WA
• Providers in Colville, WA by specialty
• Public Health or Welfare Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.