CONFEDERATED TRIBES OF THE COLVILLE RESERVATION
NPI 1760056022
Substance Abuse Rehabilitation Facility in Keller, WA
About Confederated Tribes Of The Colville Reservation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONFEDERATED TRIBES OF THE COLVILLE RESERVATION (NPI 1760056022), doing business as San Poil Treatment Center, is a healthcare organization registered as a substance abuse rehabilitation facility in Keller, Washington and active in the NPI registry since May 2021. The organization lists Amy Church, Revenue Cycle Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Confederated Tribes Of The Colville Reservation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Confederated Tribes Of The Colville Reservation, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
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 Confederated Tribes Of The Colville Reservation's NPI number?
The NPI number for Confederated Tribes Of The Colville Reservation is 1760056022. It was assigned to this organization in the NPPES registry on May 19, 2021. The provider is doing business as San Poil Treatment Center.
Where is Confederated Tribes Of The Colville Reservation located?
Confederated Tribes Of The Colville Reservation is located at 11614 Highway 21 South, Keller, WA 99140. The listed phone number is (509) 634-2050.
What is Confederated Tribes Of The Colville Reservation's specialty?
The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
Is Confederated Tribes Of The Colville Reservation enrolled in Medicare?
Yes. Confederated Tribes Of The Colville Reservation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Confederated Tribes Of The Colville Reservation?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Confederated Tribes Of The Colville Reservation, in Family Practice, Nurse Practitioner and Qualified Speech Language Pathologist. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Confederated Tribes Of The Colville Reservation accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Confederated Tribes Of The Colville Reservation 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 Confederated Tribes Of The Colville Reservation was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Confederated Tribes Of The Colville Reservation · NPI 1760056022
Substance Abuse Rehabilitation Facility organization in Keller, Washington. Organization record, active in the CMS NPPES registry since May 19, 2021.
## Identity
- **NPI:** 1760056022 (Entity type: Organization)
- **Enumerated:** May 19, 2021
- **Primary specialty:** Substance Abuse Rehabilitation Facility · taxonomy 324500000X
- **Also known as:** San Poil Treatment Center (Doing Business As)
- **Organization subpart:** Yes (part of Confederated Tribes Of The Colville Reservation)
- **Authorized official:** Amy Church, REVENUE CYCLE MANAGER
## Practice location
- **Address:** 11614 HIGHWAY 21 SOUTH, Keller, WA 99140
- **Phone:** (509) 634-2050
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1), Qualified Speech Language Pathologist (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1760056022) · Data from the CMS NPPES public registry.