| Organization Name: | DSSH IHS COLVILLE SERVICE UNIT |
| NPI Number: | 1174851737 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAROL PARKER (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 19 Lakes Street Nespelem |
| State: | WA US |
| Postal Code: | 991550071 |
| Phone Number: | 5096342900 |
| Fax Number: | 5096342990 |
| NPI Enumeration Date: | 11/19/2009 |
| NPI Last Update Date: | 11/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP0904X |
| License Number: | R32809 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Public Health, Federal |
| Taxonomy Definition: | |