Colville Medical Center Ps
May also be knows as Northeast Washington Medical Group
Legal Business Name
Colville Medical Center Ps
Also Known As
Northeast Washington Medical Group
NPI Number
1265402689
NPI Type
Organization
Enumeration Date
01/26/2006
Specialties
(Taxonomies)Name
Code
207RC0000X
207RI0001X
207RC0200X
207RE0101X
207RG0100X
207RG0300X
207RI0008X
207R00000X
175F00000X
Primary Taxonomy
No
No
No
No
No
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
1200 EAST COLUMBIA
1200 EAST COLUMBIA
City
Colville
Colville
State
WA
WA
Postal Code
99114
99114
Country
US
US
Telephone Number
(509) 684-3701
(509) 684-3701
Authorized Official
Name
Mr. Ronald Rehn
Title or Position
CHIEF EXECUTIVE OFFICER
Telephone Number
(509) 684-3701
Identifiers
Identifier
CS6535
0401930001
7147903
8904105
50500
Identifier State
WA
WA
WA
WA
WA
Identifier Issuer
TRAVELERS RAILROAD MEDICARE
MEDICARE NCS
Unknown
L&I CRIME VICTIMS
L&I
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/14/2008