COLUMBIA BASIN HEALTH ASSOCIATION; NPI #1992923064

Contact Information

COLUMBIA BASIN HEALTH ASSOCIATION

1515 E COLUMBIA ST
OTHELLO, WA 99344-1846

Phone: 509-488-5256
Fax: 509-488-9939
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center
Optometrist	152W00000X	41	Optometry

Indicates primary specialty

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NPI Profile & details for COLUMBIA BASIN HEALTH ASSOCIATION

NPI # 1992923064

LBN Legal business name COLUMBIA BASIN HEALTH ASSOCIATION

Authorized official NIEVES GOMEZ - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/23/2007

Last updated 05/06/2022 - About 4 years ago

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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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