CONFEDERATED TRIBES OF THE COLVILLE RESERVATION
NPI 1841418977
Clinic/Center - Rehabilitation, Substance Use Disorder in Nespelem, WA

Active since April 23, 2007
21 COLVILLE STREET, NESPELEM, WA 99155(509) 634-2783(509) 634-2781 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 4, 2026, Mar 25, 2026, Oct 5, 2021 and 2 more (5 updates tracked since 2017).

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 1841418977), doing business as Alcohol Program, is a healthcare organization registered as a rehabilitation, substance use disorder in Nespelem, Washington and active in the NPI registry since April 2007. The organization lists Amy Church, Revenue Cycle Manager, as its authorized official.

NPPES Registry Identity

NPI1841418977
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCONFEDERATED TRIBES OF THE COLVILLE RESERVATION
Location Address21 COLVILLE STREETNespelem, WA 99155-0150
Mailing AddressPo Box 150Nespelem, WA 99155-0150 · (509) 634-2783 · Fax (509) 634-2781
Fax(509) 634-2781
Organization SubpartNo
Authorized OfficialAmy ChurchRevenue Cycle Manager · (509) 634-2783
Enumeration DateApril 23, 2007
Last NPPES UpdateJune 4, 20265 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1841418977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
21 COLVILLE STREET, Nespelem, WA 99155

Other Names 1

Doing Business AsAlcohol Program

Other Identifiers 1

Medicaid1992957WA

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

3

Medicare 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)

Qualified Speech Language Pathologist
NPI 1063616100
236 EDMONDS STREET
Omak, WA 98841
(509) 826-0391
32 mi
Nurse Practitioner
NPI 1417477274
617 BENTON ST
Omak, WA 98841
(509) 422-7416
✔ PECOS32 mi
Family Practice
NPI 1639131386
617 BENTON ST
Omak, WA 98841
(509) 422-7416
✔ PECOS✔ Accepts Medicare32 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 Confederated Tribes Of The Colville Reservation's NPI number?

The NPI number for Confederated Tribes Of The Colville Reservation is 1841418977. It was assigned to this organization in the NPPES registry on April 23, 2007. The provider is doing business as Alcohol Program.

Where is Confederated Tribes Of The Colville Reservation located?

Confederated Tribes Of The Colville Reservation is located at 21 Colville Street, Nespelem, WA 99155. The listed phone number is (509) 634-2783.

What is Confederated Tribes Of The Colville Reservation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

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.

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.