COLUMBIA COUNTY HOSPITAL DISTRICT NPI 1518044551

NPI Information

NPI: 1518044551
Provider Name: COLUMBIA COUNTY HOSPITAL DISTRICT

Doing Business As: COLUMBIA FAMILY CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1012 SOUTH THIRD STREET
DAYTON, WA
ZIP 99328
Phone: (509) 382-3200
Get Directions

COLUMBIA COUNTY HOSPITAL DISTRICT is a rural health clinic center in Dayton, WA. COLUMBIA COUNTY HOSPITAL DISTRICT NPI is 1518044551. The provider is registered as an organization entity type.
The provider Is Doing Business As Columbia Family Clinic.

The provider's business location address is:

1012 SOUTH THIRD STREET
DAYTON, WA
ZIP 99328
Phone: (509) 382-3200
Fax: (509) 382-2748

The provider's authorized official is Matt Minor .
The authorized official title is Cfo and has the following contact phone number (509) 382-2531.

The CLIA number assigned to this NPI record is 50D0639873 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 4/26/2022.

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	261QR1300X	Clinic/Center	Rural Health	H141	WASHINGTON	No
2	261QR1300X	Clinic/Center	Rural Health			No
3	261QR1300X	Clinic/Center	Rural Health	HI41	WASHINGTON	No
4	261QR1300X	Clinic/Center	Rural Health		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	1044538	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: 5/5/2024

NPI Synchronization or Removal

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