CONFEDERATED TRIBES OF THE COLVILLE RESERVATION – NPI #1760056022
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CONFEDERATED TRIBES OF THE COLVILLE RESERVATION is a substance abuse rehabilitation facility located in KELLER, WA. NPPES has assigned the NPI number 1760056022 to CONFEDERATED TRIBES OF THE COLVILLE RESERVATION on May 19, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was last updated on Apr 02, 2026. 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 CONFEDERATED TRIBES OF THE COLVILLE RESERVATION below.

NPI Profile for
CONFEDERATED TRIBES OF THE COLVILLE RESERVATION

NPI Number
1760056022
Enumeration Date

(more than 5 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
CONFEDERATED TRIBES OF THE COLVILLE RESERVATION
Primary location
11614 HIGHWAY 21 SOUTH
KELLER, WA 99140
Phone: (509) 634-2050 Fax:
Mailing address
21 COLVILLE STREET
NESPELEM, WA 99155-0150
Phone: (509) 634-2783 Fax: (509) 634-2781
Organization Subpart
Yes - CONFEDERATED TRIBES OF THE COLVILLE RESERVATION is subpart of another organization.
Authorized Official
AMY CHURCH
REVENUE CYCLE MANAGER
Phone: (509) 634-2783
Updated
Certification Date
Apr 02, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
324500000X
- Substance Abuse Rehabilitation Facility (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.