Columbia Basin Health Association in Othello - Federally Qualified Health Center (fqhc)
Columbia Basin Health Association - NPI 1619915006
Columbia Basin Health Association is a Federally Qualified Health Center (fqhc) in Othello, Washington. Columbia Basin Health Association practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Columbia Basin Health Association is 1619915006. The last update date is 2022-05-06.
Columbia Basin Health Association's current location address is 1515 E Columbia St, Othello, Washington. You can contact this provider via phone number 5094885256 and fax number 5094889939. The mailing address for Columbia Basin Health Association is 1515 E Columbia St, Othello, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Columbia Basin Health Association |
|---|---|
| Address | 1515 E Columbia St, Othello, Washington |
| Phone Number | 5094885256 |
| Fax Number | 5094889939 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Gomez Nieves |
| Telephone Number | 5094885256 |
NPI Number Detail
| NPI Number | 1619915006 |
|---|---|
| Provider Enumeration Date | 2006-06-04 |
| Last Updated Date | 2022-05-06 |
Provider Mailing Address Detail
| Address | 1515 E Columbia St |
|---|---|
| City | Othello |
| State | Washington (WA) |
| Post Code | 993441846 |
| Phone Number | 5094885256 |
| Fax Number | 5094889939 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7406119 | WA | -- | |
| 6023337 | WA | -- | |
| 7062425 | WA | -- | |
| 7096555 | WA | -- | |
| 7900624 | WA | -- | |
| 7107675 | WA | -- | |
| 7121585 | WA | -- | |
| 7407828 | WA | -- | |
| 5031778 | WA | -- | |
| 6022537 | WA | -- |
Post Comment/ Review Below
What is the Columbia Basin Health Association's 1619915006?
The Columbia Basin Health Association's NPI (National Provider Identifier) Number is 1619915006. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Columbia Basin Health Association's facilities are situated?
The facilities of Columbia Basin Health Association are physically located at the following address: 1515 E Columbia St, Othello, WA, 993441846.
What is the Columbia Basin Health Association's specialty and taxonomy code?
The Columbia Basin Health Association's specialty is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code is 261Qf0400X.
On what date was the 1619915006 assigned to Columbia Basin Health Association?
The Columbia Basin Health Association was issued its 1619915006 on 2006-06-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Columbia Basin Health Association last refreshed?
The information related to the Columbia Basin Health Association, including its address, specialty, and other relevant details, was last updated on 2022-05-06.
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