COLUMBIA BASIN HEALTH ASSOCIATION NPI 1053539890

NPI Information

NPI: 1053539890
Provider Name: COLUMBIA BASIN HEALTH ASSOCIATION

Doing Business As: WAHLUKE CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
601 GOVERNMENT WAY
MATTAWA, WA
ZIP 99349
Phone: (509) 932-3535
Get Directions

COLUMBIA BASIN HEALTH ASSOCIATION is a federally qualified health center (fqhc) clinic center in Mattawa, WA. COLUMBIA BASIN HEALTH ASSOCIATION NPI is 1053539890. The provider is registered as an organization entity type.
The provider Is Doing Business As Wahluke Clinic.

The provider's business location address is:

601 GOVERNMENT WAY
MATTAWA, WA
ZIP 99349
Phone: (509) 932-3535
Fax: (509) 488-9939

The provider's authorized official is Joshua Bunch .
The authorized official title is Cfo and has the following contact phone number (509) 488-5250.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 7/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	50D9963406	OTHER	WASHINGTON	CLIA #
2	8908941	OTHER	WASHINGTON	CRIME VICTIMS #
3	7107675	OTHER	WASHINGTON	UGS MDC DSHS CROSSOVER
4	7900624	OTHER	WASHINGTON	TAKE CHARGE #
5	0135012	OTHER	WASHINGTON	DEPT OF L&I
6	7096555	MEDICAID	WASHINGTON
7	7407927	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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