DSSH IHS COLVILLE SERVICE UNIT; NPI #1174851737

Contact Information

DSSH IHS COLVILLE SERVICE UNIT

19 LAKES STREET
NESPELEM, WA 99155-0071

Phone: 509-634-2900
Fax: 509-634-2990
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Public Health, Federal	261QP0904X

Indicates primary specialty

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NPI Profile & details for DSSH IHS COLVILLE SERVICE UNIT

NPI # 1174851737

LBN Legal business name DSSH IHS COLVILLE SERVICE UNIT

Authorized official KAROL PARKER - (CHIEF EXECUTIVE OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/19/2009

Last updated 11/19/2009 - About 17 years ago

Identifiers

ND	License #	R32809
WA	Medicaid	7139660

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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