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COLUMBIA BASIN HEALTH ASSOCIATION NPI 1083832232


NPI Information

NPI: 1083832232
Provider Name: COLUMBIA BASIN HEALTH ASSOCIATION

Doing Business As: COLUMBIA BASIN HEALTH ASSOCIATION

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1515 E COLUMBIA ST
OTHELLO, WA
ZIP 99344
Phone: (509) 488-5256
Get Directions

COLUMBIA BASIN HEALTH ASSOCIATION is a federally qualified health center (fqhc) clinic center in Othello, WA. COLUMBIA BASIN HEALTH ASSOCIATION NPI is 1083832232. The provider is registered as an organization entity type.
The provider Is Doing Business As Columbia Basin Health Association.

The provider's business location address is:

1515 E COLUMBIA ST
OTHELLO, WA
ZIP 99344-846
Phone: (509) 488-5256
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 4/23/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)WASHINGTONNo
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
150D0066222OTHERWASHINGTONCLIA #
28908941OTHERWASHINGTONCRIME VICTIMS #
37062425MEDICAIDWASHINGTON
47406119MEDICAIDWASHINGTON
57107675OTHERWASHINGTONUGS MDC DSHS CROSSOVER
60035900OTHERWASHINGTONDEPT OF L&I #
72029130MEDICAIDWASHINGTON
87900624OTHERWASHINGTONTAKE CHARGE #

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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