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COLUMBIA VALLEY COMMUNITY HEALTH NPI 1083812689


NPI Information

NPI: 1083812689
Provider Name: COLUMBIA VALLEY COMMUNITY HEALTH

Doing Business As: COLUMBIA VALLEY COMMUNITY HEALTH DENTAL

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
600 ORONDO AVE
STE 1
WENATCHEE, WA
ZIP 98801
Phone: (509) 662-3860
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COLUMBIA VALLEY COMMUNITY HEALTH is a federally qualified health center (fqhc) clinic center in Wenatchee, WA. COLUMBIA VALLEY COMMUNITY HEALTH NPI is 1083812689. The provider is registered as an organization entity type.
The provider Is Doing Business As Columbia Valley Community Health Dental.

The provider's business location address is:

600 ORONDO AVE
STE 1
WENATCHEE, WA
ZIP 98801-800
Phone: (509) 662-3860
Fax: (509) 664-4585

The provider's authorized official is Manuel Navarro .
The authorized official title is Ceo and has the following contact phone number (509) 662-6000.

The enumeration date for this NPI number is 7/5/2007 and was last updated on 4/19/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDental601-108-231WASHINGTONNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11042811MEDICAIDWASHINGTON

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

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