PROVIDENCE HEALTH & SERVICES WASHINGTON
NPI 1255685822
Clinic/Center - Rural Health in Colville, WA

Active since November 05, 2012
1200 E COLUMBIA AVE, COLVILLE, WA 99114(509) 474-2072 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 5, 2025, Feb 10, 2025, May 14, 2024 and 1 more (4 updates tracked since 2020).

About Providence Health & Services Washington NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE HEALTH & SERVICES WASHINGTON (NPI 1255685822), doing business as Providence Newmg Colville, is a healthcare organization registered as a rural health in Colville, Washington and active in the NPI registry since November 2012. The organization lists Donald W. Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1255685822
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePROVIDENCE HEALTH & SERVICES WASHINGTON
Location Address1200 E COLUMBIA AVEColville, WA 99114-3354
Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114 · (509) 684-3701
Organization SubpartNo
Authorized OfficialDonald W. AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateNovember 5, 2012
Last NPPES UpdateMay 5, 20254 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
✔ NPI 1255685822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1200 E COLUMBIA AVE, Colville, WA 99114

Other Names 1

Doing Business AsProvidence Newmg Colville

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Providence Health & Services Washington is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Providence Health & Services Washington, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (7)

General Surgery
NPI 1588848428
105 W 8TH AVE STE 7050
Spokane, WA 99204
(509) 252-1711
✔ PECOS✔ Accepts Medicare66 mi
Critical Care (Intensivists)
NPI 1376767897
2825 STOCKYARD RD STE I-200
Missoula, MT 59808
(406) 728-8420
✔ PECOS✔ Accepts Medicare212 mi
Anesthesiology
NPI 1770016107
2825 STOCKYARD RD STE I-200
Missoula, MT 59808
(406) 728-8420
✔ PECOS✔ Accepts Medicare212 mi
Anesthesiology
NPI 1861754285
2825 STOCKYARD RD BLDG I-200
Missoula, MT 59808
(406) 728-8420
✔ PECOS✔ Accepts Medicare212 mi
Anesthesiology
NPI 1386730893
2825 STOCKYARD RD BLDG I-200
Missoula, MT 59808
(406) 728-8420
✔ PECOS✔ Accepts Medicare212 mi
Psychiatry
NPI 1801835491
902 N. ORANGE ST. 2ND FLOOR PROVIDENCE PSYCHIATRY
Missoula, MT 59802
(406) 327-3362
✔ PECOS✔ Accepts Medicare215 mi
Anesthesiology
NPI 1932640372
3181 SW SAM JACKSON PARK RD
Portland, OR 97239
(034) 947-6415
✔ PECOS✔ Accepts Medicare309 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Health & Services Washington's NPI number?

The NPI number for Providence Health & Services Washington is 1255685822. It was assigned to this organization in the NPPES registry on November 5, 2012. The provider is doing business as Providence NEWMG Colville.

Where is Providence Health & Services Washington located?

Providence Health & Services Washington is located at 1200 E Columbia Ave, Colville, WA 99114. The listed phone number is (509) 474-2072.

What is Providence Health & Services Washington's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Providence Health & Services Washington enrolled in Medicare?

Yes. Providence Health & Services Washington is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Health & Services Washington?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Providence Health & Services Washington. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Anesthesiology (4), Critical Care (Intensivists) (1) and General Surgery (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Providence Health & Services Washington accept?

Health plans from Ambetter Health list Providence Health & Services Washington as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Providence Health & Services Washington was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.