NPIMap

Organization Active NPI

New Health Programs Association

Doing business as NEW Health Colville Medical

  • Federally Qualified Health Center (FQHC)
  • Colville, WA
National Provider Identifier
1275938672
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
J600317870 Issued in WA
Legal business name
NEW HEALTH PROGRAMS ASSOCIATION
Doing business as
NEW Health Colville Medical
Practice address
358 N Main St
Colville, WA 99114-2310
Phone
(509) 684-1440
Fax
(509) 684-1277
NPI assigned
Oct 28, 2014
Last updated
Jul 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Donna Poe
Title
Credentialing Specialist
Phone
(509) 935-6001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X J600317870 WA Primary

Addresses

Primary practice location

358 N Main St
Colville, WA 99114-2310

Mailing address

PO Box 808
Chewelah, WA 99109-0808

Other names 1

  • NEW Health Colville Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040119000412 WA Part B Supplier - Clinic/Group Practice 1951202373 Receives reassigned benefits from 30 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Orient, WA; Springdale, WA; Northport, WA; Nine Mile Falls, WA; Newport, WA; Loon Lake, WA; Ione, WA; Colville, WA…
O20150825004301 WA Part A Provider - Federally Qualified Health Center (FQHC) 1951202373 Practice locations: Colville, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275938672. Details of each certification follow.

Federally qualified health center certification: CCN 941002

Legal name
NEW HEALTH PROGRAMS ASSOCIATION
Doing business as
NEW HEALTH PROGRAMS ASSOCIATION COLVILLE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 20, 2015
Last certification
Jul 20, 2015
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 20, 1978 in WA
Enrollment address
358 N Main St
Colville, WA 99114-2310

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

518 E Clay Ave
Chewelah, WA 99109
Phone (509) 935-6004

358 N Main St
Colville, WA 99114
Phone (509) 684-1440

435 W Walnut St
Newport, WA 99156
Phone (509) 447-0888

5952 Blackstone Way
Nine Mile Falls, WA 99026
Phone (509) 464-3627

114 S Main St
Springdale, WA 99173
Phone (509) 258-4234

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Alison McGrane Individual Corporate OfficerChairperson Dec 1, 2017
Keith Ballance Individual Corporate OfficerSecretary Nov 8, 2018
Carmen Ann Deal Individual Corporate OfficerVice Chairperson Nov 14, 2013
Dale Storer Individual Corporate DirectorDirector May 12, 2016
Deloris Henry Individual Corporate DirectorDirector Jan 9, 2014
Desiree L Sweeney Individual Corporate OfficerCeo Oct 1, 2012
W-2 Managing EmployeeCeo Oct 1, 2012
Operational/Managerial ControlCeo Oct 1, 2012
Tracy Aynes Individual Corporate Officer Aug 15, 2019
Ellen Ballance Individual Corporate OfficerBoard Vice Chairperson Jun 13, 2019
Ken Rozelle Individual Corporate DirectorDirector May 10, 2018

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1275938672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991090808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 N MAIN ST",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142310",
            "telephone_number": "509-684-1440",
            "fax_number": "509-684-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HEALTH PROGRAMS ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "POE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "509-935-6001"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "WA",
            "license": "J600317870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW Health Colville Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colville, WA

Sources for this page

Verify at the official NPI Registry.