NPIMap

Organization Active NPI

Confederated Tribes of the Colville Reservation

  • Case Management Agency
  • Nespelem, WA
National Provider Identifier
1669690897
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
7405111 Issued in WA
Legal business name
CONFEDERATED TRIBES OF THE COLVILLE RESERVATION
Practice address
21 Colville Street
Nespelem, WA 99155-0150
Phone
(509) 634-2727
Fax
(509) 634-2781
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Amy Church, CRCR
Title
Revenue Cycle Manager
Phone
(509) 634-2783

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 7405111 WA Primary

Addresses

Primary practice location

21 Colville Street
Nespelem, WA 99155-0150

Mailing address

PO Box 150
Nespelem, WA 99155-0150
Phone (509) 634-2783

Other identifiers 1

IdentifierTypeStateIssuer
7405111MedicaidWA

Other names 1

  • Maternal Support Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Confederated Tribes of the Colville Reservation16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1669690897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150",
            "city": "NESPELEM",
            "state": "WA",
            "postal_code": "991550150",
            "telephone_number": "509-634-2783",
            "fax_number": "509-634-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 COLVILLE STREET",
            "city": "NESPELEM",
            "state": "WA",
            "postal_code": "991550150",
            "telephone_number": "509-634-2727",
            "fax_number": "509-634-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFEDERATED TRIBES OF THE COLVILLE RESERVATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "509-634-2783",
        "authorized_official_credential": "CRCR"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WA",
            "license": "7405111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7405111",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maternal Support Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maternal Support Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 4, 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.