NPIMap

Organization Active NPI

Omak Tribal Health Clinic

Doing business as DHHS IHS Colville Service Unit

  • Clinic/Center
  • Omak, WA
National Provider Identifier
1639210370
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
OMAK TRIBAL HEALTH CLINIC
Doing business as
DHHS IHS Colville Service Unit
Practice address
617 Benton Street
Omak, WA 98841-0962
Phone
(509) 634-2900
Fax
(509) 634-2990
NPI assigned
Feb 8, 2007
Last updated
Aug 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
Yvonne Iverson
Title
Chief Executive Officer
Phone
(509) 634-2900

Specialties & licenses 2

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

Addresses

Primary practice location

617 Benton Street
Omak, WA 98841-0962

Mailing address

PO Box 71
Nespelem, WA 99155-0071
Phone (509) 634-2900

Other identifiers 1

IdentifierTypeStateIssuer
6026850MedicaidWA

Other names 1

  • DHHS IHS COLVILLE SERVICE UNIT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071107000666 TX Part B Supplier - Clinic/Group Practice 1557458510 Receives reassigned benefits from 22 practitioners
Practice locations: Omak, WA

National Provider Directory

National Provider Directory
Tax ID family
DHHS IHS Colville Service Unit2 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.

Practitioners & affiliated clinicians

Practitioners 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1639210370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71",
            "city": "NESPELEM",
            "state": "WA",
            "postal_code": "991550071",
            "telephone_number": "509-634-2900",
            "fax_number": "509-634-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 BENTON STREET",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988410962",
            "telephone_number": "509-634-2900",
            "fax_number": "509-634-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAK TRIBAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "IVERSON",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "509-634-2900"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6026850",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DHHS IHS COLVILLE SERVICE UNIT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omak, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.