Active NPI
Northeast Tri County Health District
- Clinic/Center
- Colville, WA
National Provider Identifier
1356426589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- NORTHEAST TRI COUNTY HEALTH DISTRICT
- Practice address
- 240 E Dominion Ave
Pob 270
Colville, WA 99114-2732 - Phone
- (509) 684-1301
- Fax
- (509) 684-1002
- NPI assigned
- Oct 26, 2006
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
240 E Dominion Ave
Pob 270
Colville, WA 99114-2732
Mailing address
240 E Dominion Ave
Colville, WA 99114-2732
Phone (509) 684-1301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1008520 | Medicaid | WA |
National Provider Directory
National Provider Directory- Tax ID family
- Northeast Tri County Health District
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Colville, WA
- NPI 1114099967
Locations
240 E Dominion Ave
Colville, WA 99114
Phone (509) 684-1301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422921600000",
"number": "1356426589",
"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",
"address_2": "POB 270",
"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": "2006-10-26",
"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": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1008520",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colville, WA
- 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.
- Northeastern Washington Eyecare
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.