Organization Name: | COLVILLE CONFEDERATED TRIBES |
NPI Number: | 1568682847 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA PAYNE (OFFICE MANAGER) |
Mailing Address: | 1 Colville Street Nespelem |
State: | WA US |
Postal Code: | 991550150 |
Phone Number: | 5096342727 |
Fax Number: | 5096342781 |
NPI Enumeration Date: | 04/27/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0700X |
License Number: | 7119928 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Hearing and Speech |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |