NPIMap

Confederate Tribes of the Colville Reservation

Organization Active NPI Federally Qualified Health Center (FQHC) · Inchelium, WA

NPI 1497870372 · NPPES record last updated Jun 23, 2026

Key facts

NPI
1497870372
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
CONFEDERATE TRIBES OF THE COLVILLE RESERVATION
Practice address
39 Shortcut Road
Inchelium, WA 99138-0290
Phone
(509) 722-7006
Fax
(509) 722-7021
NPI assigned
Mar 20, 2007
Organization subpart
No

Authorized official

Name
Amy Church
Title
Revenue Cycle Director
Phone
(509) 634-2783

Corporate family (same tax ID) 15

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Confederated Tribes of the Colville Reservation (16 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

39 Shortcut Road
Inchelium, WA 99138-0290

Mailing address

39 Shortcut Road
PO Box 290
Inchelium, WA 99138-0290
Phone (509) 722-7006

Other identifiers

IdentifierTypeStateIssuer
7085426MedicaidWA

Other names

  • Lake Roosevelt Community Health Centers Doing business as
  • CNCHC Inchelium Community Health Center Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 23, 2026.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1497870372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 SHORTCUT ROAD",
            "address_2": "PO BOX 290",
            "city": "INCHELIUM",
            "state": "WA",
            "postal_code": "991380290",
            "telephone_number": "509-722-7006",
            "fax_number": "509-722-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 SHORTCUT ROAD",
            "city": "INCHELIUM",
            "state": "WA",
            "postal_code": "991380290",
            "telephone_number": "509-722-7006",
            "fax_number": "509-722-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFEDERATE TRIBES OF THE COLVILLE RESERVATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "509-634-2783"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7085426",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Roosevelt Community Health Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CNCHC Inchelium Community Health Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CNCHC Inchelium Community Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Inchelium, WA

All providers in Inchelium, WA · Federally Qualified Health Center (FQHC) in Washington

Sources for this page

Verify at the official NPI Registry.