Organization · Type 2 NPI

Providence Health & Services Washington

Rural Health Clinic/Center · Colville, WA

NPI number 1255685822 Active

Practice location

1200 E Columbia Ave
Colville, WA 99114-3354

Call (509) 474-2072 Map

Mailing address

PO Box 31001-4114
Pasadena, CA 91110-4114

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

53 other providers at this address

Other rural health clinic/center providers in Colville

Colville Medical Center PSRural Health Clinic/Center Colville, WA NPI 1295997591
Colville Medical Center PSRural Health Clinic/Center Colville, WA NPI 1831351139

See all in Colville →

NPI record

NPI: 1255685822
Entity type: Organization (Type 2)
Issued: Nov 5, 2012
Last updated: May 5, 2025
Status: Active

Other names

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Providence Newmg Colville · doing business as
Providence Newmg Colville · doing business as

Authorized official

Mr. Donald W. Anderson
Assistant Secretary of Enrollments
(425) 358-9786

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1255685822

Providence Health & Services Washington's National Provider Identifier is 1255685822, issued on Nov 5, 2012. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Colville, WA. The record was last updated on May 5, 2025.