Organization

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

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

Provider Address