Confederate Tribes of the Colville Reservation
NPI #1497870372 in Inchelium, Washington
Provider Information
- NPI Number
- 1497870372
- Entity Type
- Organization
- Organization Name
- Confederate Tribes of the Colville Reservation
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Mar 20, 2007
- Last Updated
- Jul 9, 2008
Practice Location
- Address
- 39 SHORTCUT ROAD
- City
- Inchelium
- State
- Washington
- ZIP Code
- 99138-0290
- Phone
- (509) 722-7006
Authorized Official
- Name
- MR. THOMAS RICHARD BERG, R.PH.
- Title
- EXECUTIVE DIRECTOR
- Phone
- (509) 722-7006
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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