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COLUMBIA BASIN HEALTH ASSOCIATION NPI 1841574241


NPI Information

NPI: 1841574241
Provider Name: COLUMBIA BASIN HEALTH ASSOCIATION

Doing Business As: CONNELL CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1051 S COLUMBIA AVE
CONNELL, WA
ZIP 99326
Phone: (509) 234-0866
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COLUMBIA BASIN HEALTH ASSOCIATION is a clinic center in Connell, WA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). COLUMBIA BASIN HEALTH ASSOCIATION NPI is 1841574241. The provider is registered as an organization entity type.
The provider Is Doing Business As Connell Clinic.

The provider's business location address is:

1051 S COLUMBIA AVE
CONNELL, WA
ZIP 99326-702
Phone: (509) 234-0866
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 10/4/2011 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterWASHINGTONYes

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
10035900OTHERWASHINGTONDLI

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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