Dhhs Ihs Colville Service Unit | |
617 Benton Street Omak WA 98841-0962 | |
(509) 634-2900 | |
(509) 634-2990 |
Full Name | Dhhs Ihs Colville Service Unit |
---|---|
Speciality | Clinic/Center |
Location | 617 Benton Street, Omak, Washington |
Authorized Official Name and Position | Yvonne L Misiaszek (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 5096342900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dhhs Ihs Colville Service Unit Po Box 71 Nespelem WA 99155-0071 Ph: (509) 634-2900 | Dhhs Ihs Colville Service Unit 617 Benton Street Omak WA 98841-0962 Ph: (509) 634-2900 |
NPI Number | 1639210370 |
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Provider Enumeration Date | 02/08/2007 |
Last Update Date | 10/11/2007 |
Medicare PECOS PAC ID | 1557458510 |
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Medicare Enrollment ID | O20071107000666 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639210370 | NPI | - | NPPES |
6026850 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Joseph P Santiago |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285667188 PECOS PAC ID: 1153466214 Enrollment ID: I20100301000959 |
Provider Name | Peggy W Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275898405 PECOS PAC ID: 1355582545 Enrollment ID: I20130731000363 |
Provider Name | Loren L Lewis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275603037 PECOS PAC ID: 0143313817 Enrollment ID: I20150318002091 |
Provider Name | Jacqueline M Sellner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003213430 PECOS PAC ID: 6507183654 Enrollment ID: I20150624001249 |
Provider Name | Qiyu Huang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619250131 PECOS PAC ID: 4587838867 Enrollment ID: I20160404000555 |
Provider Name | Melinda K Hoffman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164415006 PECOS PAC ID: 4082701487 Enrollment ID: I20160617000258 |
Provider Name | Debra S Scheel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568468189 PECOS PAC ID: 5496778391 Enrollment ID: I20161202000087 |
Provider Name | Larry Smith |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639131386 PECOS PAC ID: 8729061189 Enrollment ID: I20170724003308 |
Provider Name | Michael L Turnington |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356890206 PECOS PAC ID: 9830468818 Enrollment ID: I20170822000259 |
Provider Name | Connie I Edwards |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538139027 PECOS PAC ID: 1355233313 Enrollment ID: I20171116002520 |
Provider Name | Phillip Luther Shealy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811394935 PECOS PAC ID: 3577873264 Enrollment ID: I20171128003355 |
Provider Name | Shauna Robinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962952028 PECOS PAC ID: 9830456532 Enrollment ID: I20171206000003 |
Provider Name | Emily Poloji |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922491349 PECOS PAC ID: 8729351564 Enrollment ID: I20180103000645 |
Provider Name | Robert L Holman |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1225083587 PECOS PAC ID: 7517919095 Enrollment ID: I20180308002306 |
Provider Name | Victoria E Brookshire |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275679961 PECOS PAC ID: 3274762901 Enrollment ID: I20181010000731 |
Provider Name | Alison M Pingitore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538518113 PECOS PAC ID: 5294028668 Enrollment ID: I20181105000381 |
Provider Name | Judy Ann Fryover |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750574950 PECOS PAC ID: 9133473887 Enrollment ID: I20181115000305 |
Provider Name | Teresa Ellen Myers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013991363 PECOS PAC ID: 1759376759 Enrollment ID: I20181231000307 |
Provider Name | Francoise Bansenga |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275877409 PECOS PAC ID: 8022303213 Enrollment ID: I20190417000399 |
Provider Name | Micheal Scott Feuerborn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740842053 PECOS PAC ID: 9133551179 Enrollment ID: I20191113002594 |
Provider Name | Cassandra Mitchell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184118275 PECOS PAC ID: 7214261627 Enrollment ID: I20191116000176 |
Provider Name | Deanna A Pritchett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841779634 PECOS PAC ID: 9537591219 Enrollment ID: I20191119000266 |
Provider Name | Kenya Kawanee Hemingway |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093083420 PECOS PAC ID: 2062679152 Enrollment ID: I20200128000899 |
Provider Name | Andrew J Trego |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053439331 PECOS PAC ID: 6103255443 Enrollment ID: I20200715003310 |
Provider Name | Michael Blue |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558309393 PECOS PAC ID: 5991793135 Enrollment ID: I20210115002377 |
Provider Name | Johnna Diane Tunnyhill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245901701 PECOS PAC ID: 0547650467 Enrollment ID: I20211209000038 |
Provider Name | Randall Wiley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013029735 PECOS PAC ID: 5597867465 Enrollment ID: I20211217001285 |
Sunset Chiropractic & Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 528 Riverside Dr, Omak, WA 98841 Phone: 509-826-3747 Fax: 509-826-0113 | |
Okanogan Farm Workers Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1003 Koala Dr., Omak, WA 98841 Phone: 509-422-5700 Fax: 509-422-7680 | |
Full Circle Health And Wellness Center Pllp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 S Main St, Omak, WA 98841 Phone: 509-560-3928 | |
Mid-valley Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 529 Jasmine St, Omak, WA 98841 Phone: 509-826-1600 Fax: 509-826-3633 | |
Confluence Health Omak Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 916 Koala Dr, Omak, WA 98841 Phone: 509-826-1800 | |
Confluence Health Omak Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 916 Koala Ave, Omak, WA 98841 Phone: 509-826-1800 |