National Provider Identifier Database

DSSH IHS COLVILLE SERVICE UNIT
Public Health, Federal


Contact Information

DSSH IHS COLVILLE SERVICE UNIT
19 LAKES STREET
NESPELEM, WA99155-0071
Phone: 509-634-2900
Fax: 509-634-2990
Website:
Specialty Taxonomy Code
* Public Health, Federal 261QP0904X

* Indicates primary specialty

NPI Profile & details for DSSH IHS COLVILLE SERVICE UNIT

NPI Number 1174851737
Legal business name
LBN
DSSH IHS COLVILLE SERVICE UNIT
Authorized official KAROL PARKER - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 11/19/2009
Last updated 11/19/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • ND License #: R32809
  • WA Medicaid: 7139660

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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