Colville Medical Center PS

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

COLVILLE MEDICAL CENTER PS

Doing business as

NorthEast Washington Medical Group (CMC RHC)

Practice address

1200 E Columbia Ave
Colville, WA 99114-3354

Phone

(509) 684-3701

Fax

(509) 684-5817

NPI assigned

Jun 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ronald G Rehn, DHA, MPA, CMPE

Title

Cheif Executive Officer

Phone

(509) 684-3701

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• NorthEast Washington Medical Group (CMC RHC) Doing business as

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1295997591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E COLUMBIA AVE",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991143354",
            "telephone_number": "509-684-3701",
            "fax_number": "509-684-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E COLUMBIA AVE",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991143354",
            "telephone_number": "509-684-3701",
            "fax_number": "509-684-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLVILLE MEDICAL CENTER PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "REHN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "509-684-3701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DHA, MPA, CMPE"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7108749",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorthEast Washington Medical Group (CMC RHC)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Colville Medical Center
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• Colville Medical Center PS
• Colville Naturopathic Clinic P.S.
• Colville of Cascadia, LLC
• Colville Physical Therapy Inc
• Colville School District

• Rural Health Clinic/Center in Colville, WA
• Providers in Colville, WA by specialty
• Rural Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.