| New Health Colville Dental | |
|
161 E 3rd Ave Colville WA 99114-2310 | |
| (509) 684-1440 | |
| (509) 684-1277 |
| Full Name | New Health Colville Dental |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 161 E 3rd Ave, Colville, Washington |
| Authorized Official Name and Position | Donna Poe (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5099356001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Health Colville Dental Po Box 808 Chewelah WA 99109-0808 Ph: (509) 935-6001 | New Health Colville Dental 161 E 3rd Ave Colville WA 99114-2310 Ph: (509) 684-1440 |
| NPI Number | 1508820879 |
|---|---|
| Provider Enumeration Date | 04/13/2006 |
| Last Update Date | 07/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508820879 | NPI | - | NPPES |
| 80300 | Other | WA | LABOR AND INDUSTRIES ID |
| 5024922 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | J600317870 (Washington) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Brown & Sorensen, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 E 1st Ave, Colville, WA 99114 Phone: 509-684-3736 | |
Banich & Banich Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 775 S Main St, Suite C, Colville, WA 99114 Phone: 509-684-4586 Fax: 506-685-1043 | |
Quality Sleep Northwest Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 181 E 1st Ave, Colville, WA 99114 Phone: 509-438-8840 | |
Healthy Expressions Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 E 1st Ave, Colville, WA 99114 Phone: 509-684-3736 Fax: 509-684-3407 | |
Hardwick Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 E 1st Ave, Colville, WA 99114 Phone: 509-684-3592 Fax: 509-685-9118 | |
Steven G. Banich Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 775 S Main St, Ste C, Colville, WA 99114 Phone: 509-684-4586 Fax: 509-685-1043 |