Colville Nation Community Health Centers
Organization Active NPI Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Keller, WA
NPI 1487779369 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1487779369
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
- Legal business name
- COLVILLE NATION COMMUNITY HEALTH CENTERS
- Practice address
- 11665 South Highway 21
Keller, WA 99140 - Phone
- (509) 634-7300
- Fax
- (509) 722-7021
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Sue Burkhart
- Title
- Biller
- Phone
- (509) 722-7006
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Colville Nation Community
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X | Yes |
Addresses
Primary practice location
11665 South Highway 21
Keller, WA 99140
Mailing address
P.O. Box 290
Inchelium, WA 99140-0290
Phone (509) 634-7300
Other names
- LAKE ROOSEVELT COMMUNITY HEALTH CENTERS PHARMACY
- CNCHC SANPOIL VALLY COMMUNITY HEALTH CENTER
Other providers in Keller, WA
- Hope E Achenbach
- Clara Ann Carson
- Confederated Tribes of the Colville Reservation
- Confederated Tribes of the Colville Reservation
- Sheri Gray
- Keller School District
- Jadi Jo Reynolds
All providers in Keller, WA · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.