NPIMap

Organization Active NPI

New Health Program Association

Doing business as NEW Health Colville Dental

  • Federally Qualified Health Center (FQHC)
  • Colville, WA
National Provider Identifier
1508820879
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NEW HEALTH PROGRAM ASSOCIATION
Doing business as
NEW Health Colville Dental
Practice address
161 E 3Rd Ave
Colville, WA 99114-2310
Phone
(509) 684-1440
Fax
(509) 684-1277
NPI assigned
Apr 13, 2006
Last updated
Jul 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Donna Poe
Title
Credentialing Specialist
Phone
(509) 935-6001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X J600317870 WA
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

161 E 3Rd Ave
Colville, WA 99114-2310

Mailing address

PO Box 808
Chewelah, WA 99109-0808
Phone (509) 935-6001

Other identifiers 2

IdentifierTypeStateIssuer
5024922MedicaidWA
80300OtherWALABOR AND INDUSTRIES ID

Other names 1

  • NEW Health Colville Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
NE Wash Health Programs10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

161 E 3rd Ave
Colville, WA 99114
Phone (509) 684-1440

370 N Main St
Colville, WA 99114
Phone (509) 684-1440

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1508820879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991090808",
            "telephone_number": "509-935-6001",
            "fax_number": "509-935-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 E 3RD AVE",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142310",
            "telephone_number": "509-684-1440",
            "fax_number": "509-684-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HEALTH PROGRAM ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "POE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "509-935-6001"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "J600317870",
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5024922",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES ID",
            "identifier": "80300",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW Health Colville Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.