Organization · Type 2 NPI

Colville Nation Community Health Centers

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Keller, WA

NPI number 1487779369 Active

Practice location

11665 South Highway 21
Keller, WA 99140

Call (509) 634-7300 Map

Fax (509) 722-7021

Mailing address

P.o. Box 290
Inchelium, WA 99140-0290

Specialties and licenses

Taxonomy	Code	License
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary	332800000X	None listed

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy: An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.

NPI record

NPI: 1487779369
Entity type: Organization (Type 2)
Issued: Mar 20, 2007
Last updated: Jun 16, 2018
Status: Active

Other names

<unavail>
Lake Roosevelt Community Health Centers Pharmacy · doing business as
Cnchc Sanpoil Vally Community Health Center · other name
Cnchc Sanpoil Vally Community Health Center · other name

Authorized official

Sue Burkhart
Biller
(509) 722-7006

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 1487779369

Colville Nation Community Health Centers's National Provider Identifier is 1487779369, issued on Mar 20, 2007. The primary taxonomy on file is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (332800000X), and the practice location is in Keller, WA. The record was last updated on Jun 16, 2018.