Colville Medical Center PS

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

COLVILLE MEDICAL CENTER PS

Doing business as

NorthEast Washington Medical Group (KF RHC)

Practice address

1200 E Columbia Ave
Colville, WA 99114-3354

Phone

(509) 684-3701

Fax

(509) 684-5817

NPI assigned

Jun 27, 2008

Last updated

Dec 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ronald G Rehn, DHA, MPA, CMPE

Title

Chief Executive Officer

Phone

(509) 684-3701

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• NorthEast Washington Medical Group (KF RHC) Doing business as

Locations

Practitioners 5

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.

• Samuel A Artzis, MD

  • Family Medicine Physician
  • Kettle Falls, WA
  • NPI 1043208135
  NPD (past)
• Barry J Bacon, MD

  • Family Medicine Physician
  • Colville, WA
  • NPI 1053309146
  NPD (past)
• Christy Lee Endicott, MSW

  • Social Worker
  • Colville, WA
  • NPI 1770652174
  NPD (past)
• Kathleen R Schuerman, DO

  • Family Medicine Physician
  • Colville, WA
  • NPI 1578551685
  NPD (past)
• Michael D Snook, MD

  • Family Medicine Physician
  • Colville, WA
  • NPI 1033107149
  NPD (past)

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1831351139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E COLUMBIA AVE",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991143354",
            "telephone_number": "509-684-3701",
            "fax_number": "509-684-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E COLUMBIA AVE",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991143354",
            "telephone_number": "509-684-3701",
            "fax_number": "509-684-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLVILLE MEDICAL CENTER PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "REHN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "509-684-3701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DHA, MPA, CMPE"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "WA",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7105968",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorthEast Washington Medical Group (KF RHC)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colville Chiropractic Clinic Inc PS
• Colville Healing Arts Center PSC
• Colville Medical Center (Northeast Washington Med Group Phcy)
• Colville Medical Center PS (Northeast Washington Medical Group)
• Colville Medical Center PS (NorthEast Washington Medical Group (CMC RHC))
• Colville Naturopathic Clinic P.S.
• Colville of Cascadia, LLC
• Colville Physical Therapy Inc
• Colville School District
• Colville Valley Eyecare, PLLC

• Rural Health Clinic/Center in Colville, WA
• Providers in Colville, WA by specialty
• Rural Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.