Organization Name: | CONFEDERATED TRIBES OF THE COLVILLE RESERVATION |
NPI Number: | 1265529598 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRIS MCCUNE (FIRE AND EMS CHIEF) |
Mailing Address: | 405 10th St Nespelem |
State: | WA US |
Postal Code: | 99155 |
Phone Number: | 5096342440 |
Fax Number: | 5096342440 |
NPI Enumeration Date: | 10/06/2006 |
NPI Last Update Date: | 01/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 24X02 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |