COLVILLE CONFEDERATED TRIBES – NPI #1174625446
Clinic/Center

COLVILLE CONFEDERATED TRIBES is an AHC clinic located in NESPELEM, WA. NPPES has assigned the NPI number 1174625446 to COLVILLE CONFEDERATED TRIBES on September 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 19 years ago on Jul 17, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COLVILLE CONFEDERATED TRIBES below.

NPI Profile for
COLVILLE CONFEDERATED TRIBES

NPI Number
1174625446
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COLVILLE CONFEDERATED TRIBES
Primary location
1 COLVILLE STREET
NESPELEM, WA 99155-0150
Phone: (509) 634-2433 Fax: (509) 634-2781
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARTHA HOLLIDAY
HEALTH AND HUMAN SERVICE DIRECTOR
Phone: (509) 634-2433
Updated
Identifiers

Identifiers for COLVILLE CONFEDERATED TRIBES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWA8027476
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.