Alcohol Program
LBN: Confederated Tribes Of The Colville Reservation
Alcohol Program is an health care organization with primary practice located at 21 Colville Street , Nespelem WA 99155-0150. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty.
Confederated Tribes Of The Colville Reservation can be contacted via phone (509) 634-2783, or through Church, Amy via phone (509) 634-2783.
Contact Information
Primary practice address
21 Colville Street
Nespelem WA 99155-0150
Phone: (509) 634-2783
Fax: (509) 634-2781
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | ||
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X |
Profile Details
| NPI number | 1841418977 |
|---|---|
| LBN Legal business name | Confederated Tribes Of The Colville Reservation |
| DBA Doing business as | Alcohol Program |
| Authorized official | Church, Amy CRCR |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | Oct 5th, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841418977 | NPPES |
| Washington | MEDICAID | 1992957 |
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