National Provider Identifier Database

COLUMBIA BASIN HEALTH ASSOCIATION
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

COLUMBIA BASIN HEALTH ASSOCIATION
1515 E COLUMBIA ST
OTHELLO, WA99344-1846
Phone: 509-488-5256
Fax: 509-488-9939
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for COLUMBIA BASIN HEALTH ASSOCIATION

NPI Number 1992923064
Legal business name
LBN
COLUMBIA BASIN HEALTH ASSOCIATION
Authorized official NIEVES GOMEZ - (CEO)
Entity Organization
Organization subpart No
Enumeration date 04/23/2007
Last updated 05/06/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • WA License #: OD00003794
  • WA Medicaid: 2029130
  • WA Other: 8908941 CRIME VICTIMS #
  • WA Other: 0035900 DEPT L&I #
  • WA Other: 7107675 UGS MDC DSHS CROSSOVER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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