NPIMap

Organization Active NPI

Colville Indian Health Service

  • Clinic/Center
  • Nespelem, WA
National Provider Identifier
1568810885
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
89612 Issued in OK
Legal business name
COLVILLE INDIAN HEALTH SERVICE
Practice address
19 Lakes Street
Nespelem, WA 99155
Phone
(509) 634-2913
Fax
(509) 634-2945
NPI assigned
May 26, 2016
Last updated
May 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Authorized official

Name
Brian Nanamkin
Title
Management Analyst
Phone
(509) 634-2913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 89612 OK Primary

Addresses

Primary practice location

19 Lakes Street
Nespelem, WA 99155

Mailing address

PO Box 71
19 Lakes Street
Nespelem, WA 99155-0071
Phone (509) 634-2913

National Provider Directory

National Provider Directory
Tax ID family
DHHS IHS Colville SVC Unit5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1568810885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71",
            "address_2": "19 LAKES STREET",
            "city": "NESPELEM",
            "state": "WA",
            "postal_code": "991550071",
            "telephone_number": "509-634-2913",
            "fax_number": "509-634-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 LAKES STREET",
            "city": "NESPELEM",
            "state": "WA",
            "postal_code": "99155",
            "telephone_number": "509-634-2913",
            "fax_number": "509-634-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLVILLE INDIAN HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "NANAMKIN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MANAGEMENT ANALYST",
        "authorized_official_telephone_number": "509-634-2913"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OK",
            "license": "89612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nespelem, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.