New Health Programs Association
Organization Active NPI Federally Qualified Health Center (FQHC) · Colville, WA
NPI 1275938672 · NPPES record last updated Jul 18, 2023
Key facts
- NPI
- 1275938672
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- License
- J600317870 (WA)
- Legal business name
- NEW HEALTH PROGRAMS ASSOCIATION
- Practice address
- 358 N Main St
Colville, WA 99114-2310 - Phone
- (509) 684-1440
- Fax
- (509) 684-1277
- NPI assigned
- Oct 28, 2014
- Organization subpart
- No
Authorized official
- Name
- Donna Poe
- Title
- Credentialing Specialist
- Phone
- (509) 935-6001
Other NPIs on the same Medicare enrollment 8
Other NPIs with the same Medicare PAC ID 7
Practitioners 24
-
Charmaine Carido Sargent, APRN
-
Bryan Kim Dority, PA
-
Lisa Mary Malakowsky, FNP
-
Alexis Peters, ARNP
-
Robby C Riddle, MD
-
Kelly Lorraine Witte, PA-C
-
Maja Zugec, MD
-
Kathryn Walker, NP-C
-
Kandy Alley, LMHC
-
Matthew Lee Bauer, PA-C
-
Gabriela Jean Byrne, ARNP
-
Sara Ann Martin-Washo, ARNP, RN, RPSGT, RRT
-
Chelsea Ann Matz, LMFT
-
Eric Lloyd Renk, PA-C
-
Kevin Doerr Sullivan, P.A.
-
Amanda Cutler, PHARMD
-
James Brian Hendrix-Ward, PHARMD
-
Ashley Louie, PHARMD
-
Johnie J McCanna, PHARMD
-
Kiersten Stintzi, PHARMD
-
Rebecca Danielle Joy Beno, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WA
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
- Corporation · Non-profit
- Incorporated
- Nov 20, 1978 in WA
- Enrollment address
- 358 N Main St
Colville, WA 99114-2310
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Alison McGrane |
Corporate Officer |
Dec 1, 2017 | |
| Keith Ballance |
Corporate Officer |
Nov 8, 2018 | |
| Carmen Ann Deal |
Corporate Officer |
Nov 14, 2013 | |
| Dale Storer |
Corporate Director |
May 12, 2016 | |
| Deloris Henry |
Corporate Director |
Jan 9, 2014 | |
| Desiree L Sweeney |
Corporate Officer |
Oct 1, 2012 | |
| W-2 Managing Employee |
Oct 1, 2012 | ||
| Operational/Managerial Control |
Oct 1, 2012 | ||
| Tracy Aynes |
Corporate Officer | Aug 15, 2019 | |
| Ellen Ballance |
Corporate Officer |
Jun 13, 2019 | |
| Ken Rozelle |
Corporate Director |
May 10, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | J600317870 | WA | Yes |
Addresses
Primary practice location
358 N Main St
Colville, WA 99114-2310
Mailing address
PO Box 808
Chewelah, WA 99109-0808
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80300 | Other | WA | L&I |
| 2042679 | Medicaid | WA | |
| CE9078 | Other | RR MEDICARE |
Other names
- NEW Health Colville Medical
Other providers in Colville, WA
- David Narbona
- Jill M Neiman
- Cheryl Swanson Nelson
- Nest FRSC
- New Health Program Association
- New Health Programs Association
- Trinell P. Newby
- Victoria M Nichols
- Beck Nickel
- Cynthia K Nielsen
All providers in Colville, WA · Federally Qualified Health Center (FQHC) in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.