COLUMBIA BASIN HEALTH ASSOCIATION NPI 1710232749

NPI Information

NPI: 1710232749
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:
601 GOVERNMENT WAY
MATTAWA, WA
ZIP 99349
Phone: (509) 488-5256
Get Directions

COLUMBIA BASIN HEALTH ASSOCIATION is a federally qualified health center (fqhc) clinic center in Mattawa, WA. COLUMBIA BASIN HEALTH ASSOCIATION NPI is 1710232749. 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:

601 GOVERNMENT WAY
MATTAWA, WA
ZIP 99349
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 7/16/2012 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 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	7107675	OTHER	WASHINGTON	UGS MDC DSHS CROSSOVER
2	C03323	OTHER	WASHINGTON	RAILROAD MEDICARE#
3	50-1877	OTHER	WASHINGTON	MEDICARE PTAN#
4	0035900	OTHER	WASHINGTON	DLI GROUP#
5	8908941	OTHER	WASHINGTON	DLI CRIME VICTIMS#

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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