COLUMBIA BASIN HEALTH ASSOCIATION NPI 1619915006

NPI Information

NPI: 1619915006
Provider Name: 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 1619915006. The provider is registered as an organization entity type.

The provider's business location address is:

1515 E COLUMBIA ST
OTHELLO, WA
ZIP 99344
Phone: (509) 488-5256
Fax: (509) 488-9939

The provider's authorized official is Nieves Gomez .
The authorized official title is Ceo and has the following contact phone number (509) 488-5256.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 5/6/2022.

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 State	Primary
1	261QC1500X	Clinic/Center	Community Health	WASHINGTON	No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		No
3	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
1	5019765	MEDICAID	WASHINGTON
2	7096555	MEDICAID	WASHINGTON
3	7900624	MEDICAID	WASHINGTON
4	5031778	MEDICAID	WASHINGTON
5	7407828	MEDICAID	WASHINGTON
6	7406119	MEDICAID	WASHINGTON
7	6022537	MEDICAID	WASHINGTON
8	6023337	MEDICAID	WASHINGTON
9	7062425	MEDICAID	WASHINGTON
10	7406127	MEDICAID	WASHINGTON
11	2029130	MEDICAID	WASHINGTON
12	7107675	MEDICAID	WASHINGTON
13	7121585	MEDICAID	WASHINGTON
14	7407927	MEDICAID	WASHINGTON
15	7590177	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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