Columbia Basin Health Association in Othello - Federally Qualified Health Center (fqhc)
Columbia Basin Health Association - NPI 1972721710
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 1972721710. The last update date is 2022-05-06.
Columbia Basin Health Association's current location address is 475 N 14th Ave, Othello, Washington. You can contact this provider via phone number 5094886644 and fax number 5094889939. The mailing address for Columbia Basin Health Association is 475 N 14th Ave, Othello, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Columbia Basin Health Association |
|---|---|
| Address | 475 N 14th Ave, Othello, Washington |
| Phone Number | 5094886644 |
| 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 | 1972721710 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2022-05-06 |
Provider Mailing Address Detail
| Address | 475 N 14th Ave |
|---|---|
| City | Othello |
| State | Washington (WA) |
| Post Code | 993441226 |
| Phone Number | 5094886644 |
| 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 |
|---|---|---|---|
| 50D0640014 | WA | CLIA # | |
| 7121585 | WA | -- | |
| 8908941 | WA | CRIME VICTIMS # | |
| 7406119 | WA | -- | |
| 7900624 | WA | TAKE CHARGE # | |
| 35900 | WA | DEPT L&I # | |
| 7107675 | WA | UGS MDC DSHS CROSSOVER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Columbia Basin Health Association by the Centers for Medicare & Medicaid Services?
The Columbia Basin Health Association has been issued the NPI (National Provider Identifier) 1972721710 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Columbia Basin Health Association is physically located?
The Columbia Basin Health Association is physically situated at the following address: 475 N 14Th Ave, Othello, WA, 993441226.
What is Columbia Basin Health Association's specialized field of practice, and what is the corresponding taxonomy classification code?
The Columbia Basin Health Association's area of specialization is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this field of practice is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1972721710 to Columbia Basin Health Association?
The Columbia Basin Health Association received its 1972721710 assignment from the Centers for Medicare & Medicaid Services on 2007-04-24.
When was the Columbia Basin Health Association's information last updated?
The Columbia Basin Health Association's information was last updated on 2022-05-06.
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