Organization Active NPI

Spokane Tribe of Indians

  • Federally Qualified Health Center (FQHC)
  • Wellpinit, WA
National Provider Identifier
1508660879
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SPOKANE TRIBE OF INDIANS
Practice address
6203 Agency Loop Road
Wellpinit, WA 99040
Phone
(509) 258-4517
Fax
(509) 258-7152
NPI assigned
Apr 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Authorized official

Name
Gregory Abrahamson
Title
Chairman
Phone
(509) 258-4517

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

6203 Agency Loop Road
Wellpinit, WA 99040

Mailing address

PO Box 357
Wellpinit, WA 99040-0357
Phone (509) 258-4517

Other names 2

  • DAVID C. WYNECOOP MEMORIAL HEALTH CENTER Doing business as
  • Wellpinit Indian Health Other name

National Provider Directory

National Provider Directory
Tax ID family
David C Wynecoop Memorial Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1508660879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357",
            "city": "WELLPINIT",
            "state": "WA",
            "postal_code": "990400357",
            "telephone_number": "509-258-4517",
            "fax_number": "509-209-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6203 AGENCY LOOP ROAD",
            "city": "WELLPINIT",
            "state": "WA",
            "postal_code": "99040",
            "telephone_number": "509-258-4517",
            "fax_number": "509-258-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE TRIBE OF INDIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-03",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "ABRAHAMSON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "509-258-4517"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAVID C. WYNECOOP MEMORIAL HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellpinit Indian Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wellpinit, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.