OMAK TRIBAL HEALTH CLINIC
NPI 1639210370
Clinic/Center in Omak, WA

Active since February 08, 2007CLIA 50D1072865 · Certificate of Compliance
617 BENTON STREET, OMAK, WA 98841(509) 634-2900(509) 634-2990 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Omak Tribal Health Clinic NPPES

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

OMAK TRIBAL HEALTH CLINIC (NPI 1639210370), doing business as Dhhs Ihs Colville Service Unit, is a healthcare organization registered as a clinic/center in Omak, Washington and active in the NPI registry since February 2007. The organization holds a CLIA Certificate of Compliance certificate valid through April 4, 2028 and lists Yvonne Iverson, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1639210370
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameOMAK TRIBAL HEALTH CLINIC
Location Address617 BENTON STREETOmak, WA 98841-0962
Mailing AddressPo Box 71Nespelem, WA 99155-0071 · (509) 634-2900 · Fax (509) 634-2990
Fax(509) 634-2990
Organization SubpartNo
Authorized OfficialYvonne IversonChief Executive Officer · (509) 634-2900
Enumeration DateFebruary 8, 2007
Last NPPES UpdateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
✔ NPI 1639210370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
617 BENTON STREET, Omak, WA 98841

Other Names 1

Doing Business AsDhhs Ihs Colville Service Unit

Other Identifiers 1

Medicaid6026850WA

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)

Omak Tribal Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

21

Medicare enrollment records show 21 clinicians reassign Medicare billing to Omak Tribal Health Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Nurse Practitioner17
Family Practice3
Internal Medicine1

Nearest to this location (20)

See all 21
Family Practice
NPI 1639131386
617 BENTON ST
Omak, WA 98841
(509) 422-7416
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1356890206
617 BENTON ST
Omak, WA 98841
(509) 422-7416
✔ PECOSSame address
Nurse Practitioner
NPI 1417477274
617 BENTON ST
Omak, WA 98841
(509) 422-7416
✔ PECOSSame address
Nurse Practitioner
NPI 1245901701
19 LAKES AVENUE
Nespelem, WA 99155
(509) 634-2913
✔ PECOS✔ Accepts Medicare32 mi
Family Practice
NPI 1275603037
4815 N ASSEMBLY ST
Spokane, WA 99205
(509) 434-7000
✔ PECOS107 mi
Nurse Practitioner
NPI 1811394935
801 SW 16TH ST. STE. 121
Renton, WA 98057
(206) 805-8885
✔ PECOS✔ Accepts Medicare141 mi
Internal Medicine
NPI 1053439331
1414 NW NORTHRUP ST STE 800
Portland, OR 97209
(503) 414-5599
✔ PECOS248 mi
Family Practice
NPI 1285667188
WARM SPRINGS HEALTH AND WELLNESS CENTER 1270 KOT-NUM ROAD
Warm Springs, OR 97761
(541) 553-1196
✔ PECOS✔ Accepts Medicare265 mi
Nurse Practitioner
NPI 1962952028
195 PAGE MILL RD STE 103
Palo Alto, CA 94306
(888) 731-8994
✔ PECOS✔ Accepts Medicare769 mi
Nurse Practitioner
NPI 1922491349
1058 COLLEGE DR
New Town, ND 58763
(701) 627-4750
✔ PECOS787 mi
Nurse Practitioner
NPI 1801393707
US HWY 160 & NAVAJO ROUTE 35 - RED MESA
Teecnospos, AZ 86514
(928) 656-5000
✔ PECOS✔ Accepts Medicare943 mi
Nurse Practitioner
NPI 1568468189
421 E. OCEAN CAPE ROAD
Yautat, AK 99689
(907) 784-3275
✔ PECOS✔ Accepts Medicare1,120 mi
Nurse Practitioner
NPI 1740842053
1021 OKLAHOMA AVE
Woodward, OK 73801
(580) 290-6424
✔ PECOS✔ Accepts Medicare1,313 mi
Nurse Practitioner
NPI 1538139027
4320 DIPLOMACY DR
Anchorage, AK 99508
(907) 729-3300
✔ PECOS✔ Accepts Medicare1,477 mi
Nurse Practitioner
NPI 1760885628
1001 S 41ST ST E
Muskogee, OK 74403
(918) 781-6500
✔ PECOS✔ Accepts Medicare1,511 mi
Nurse Practitioner
NPI 1619250131
1607 DIXIE HWY
Louisville, KY 40210
(502) 772-1822
✔ PECOS1,821 mi
Nurse Practitioner
NPI 1275679961
8701 OLD TROY PIKE SUITE 20
Huber Heights, OH 45424
(937) 233-7146
✔ PECOS✔ Accepts Medicare1,836 mi
Nurse Practitioner
NPI 1275877409
10 STATE HIGHWAY 37B
Massena, NY 13662
(605) 698-7606
✔ PECOS✔ Accepts Medicare2,105 mi
Nurse Practitioner
NPI 1013029735
23511 HOLLYWOOD RD STE 2
Leonardtown, MD 20650
(301) 997-0611
✔ PECOS✔ Accepts Medicare2,237 mi
Nurse Practitioner
NPI 1841779634
500 CADMUS LN STE 203
Easton, MD 21601
(410) 837-2050
✔ PECOS✔ Accepts Medicare2,246 mi
See all 21 clinicians

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 50D1072865

Omak Tribal Health Clinic · Omak, WA
Active · expires Apr 4, 2028
CLIA Number50D1072865
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 22, 2026
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDr. Larry D. Smith
Laboratory Phone(509) 634-2902
Laboratory LocationOmak Tribal Health Clinic4 Siya Road, Omak, WA 98841
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Omak Tribal Health Clinic's NPI number?

The NPI number for Omak Tribal Health Clinic is 1639210370. It was assigned to this organization in the NPPES registry on February 8, 2007. The provider is doing business as Dhhs Ihs Colville Service Unit.

Where is Omak Tribal Health Clinic located?

Omak Tribal Health Clinic is located at 617 Benton Street, Omak, WA 98841. The listed phone number is (509) 634-2900.

What is Omak Tribal Health Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Omak Tribal Health Clinic enrolled in Medicare?

Yes. Omak Tribal Health Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Omak Tribal Health Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 3 Medicare specialties reassign their Medicare billing to Omak Tribal Health Clinic. 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 Nurse Practitioner (17), Family Practice (3) and Internal Medicine (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Omak Tribal Health Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 50D1072865) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Omak Tribal Health Clinic accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Omak Tribal Health Clinic 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 Omak Tribal Health Clinic was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.