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1200 E Columbia Ave Colville WA 99114-3354 | |
(509) 684-3701 | |
(509) 684-5817 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 1200 E Columbia Ave, Colville, Washington |
Authorized Official Name and Position | Ronald G Rehn (CHEIF EXECUTIVE OFFICER) |
Authorized Official Contact | 5096843701 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1200 E Columbia Ave Colville WA 99114-3354 Ph: (509) 684-3701 | 1200 E Columbia Ave Colville WA 99114-3354 Ph: (509) 684-3701 |
NPI Number | 1295997591 |
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Provider Enumeration Date | 06/27/2008 |
Last Update Date | 12/09/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295997591 | NPI | - | NPPES |
7108749 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (Washington) | Primary |
Northeast Tri County Health District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 E Dominion Ave, Pob 270, Colville, WA 99114 Phone: 509-684-1301 Fax: 509-684-1002 | |
Colville Healing Arts Center Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 S Elm St, Colville, WA 99114 Phone: 509-685-2300 Fax: 509-685-0358 |