Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CONFEDERATE TRIBES OF THE COLVILLE RESERVATION
NPI 1497870372
Clinic/Center - Federally Qualified Health Center (FQHC) in Inchelium, WA

Q: What is Confederate Tribes Of The Colville Reservation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since March 20, 2007

39 SHORTCUT ROAD, INCHELIUM, WA 99138(509) 722-7006(509) 722-7021 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Confederate Tribes Of The Colville Reservation NPPES

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

CONFEDERATE TRIBES OF THE COLVILLE RESERVATION (NPI 1497870372), doing business as Lake Roosevelt Community Health Centers, is a healthcare organization registered as a federally qualified health center (fqhc) in Inchelium, Washington and active in the NPI registry since March 2007. The organization lists Amy Church, Revenue Cycle Director, as its authorized official.

NPPES Registry Identity

NPI1497870372

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameCONFEDERATE TRIBES OF THE COLVILLE RESERVATION

Location Address39 SHORTCUT ROADInchelium, WA 99138-0290

Mailing Address39 Shortcut Road, Po Box 290Inchelium, WA 99138-0290 · (509) 722-7006 · Fax (509) 722-7021

Phone(509) 722-7006

Fax(509) 722-7021

Organization SubpartNo

Authorized OfficialAmy ChurchRevenue Cycle Director · (509) 634-2783

Enumeration DateMarch 20, 2007

Last NPPES UpdateJune 23, 2026

NPPES CertifiedJune 23, 2026

✔ NPI 1497870372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

39 SHORTCUT ROAD, Inchelium, WA 99138

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Other Names 2

Doing Business AsLake Roosevelt Community Health Centers

Other NameCnchc Inchelium Community Health Center

Other Identifiers 1

Medicaid7085426WA

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLVILLE NATION COMMUNITY HEALTH CENTERS

Clinic/Center (Federally Qualified Health Center (FQHC))