Othello Dental Center
LBN: Columbia Basin Health Association
Othello Dental Center is an health care organization with primary practice located at 1515 E Columbia St , Othello WA 99344-1846. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Columbia Basin Health Association can be contacted via phone (509) 488-5256, or through Bunch, Joshua via phone (509) 488-5250.
Contact Information
Primary practice address
1515 E Columbia St
Othello WA 99344-1846
Phone: (509) 488-5256
Fax: (509) 488-9939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Dental | 261QD0000X | Washington | |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | Washington |
Profile Details
| NPI number | 1891913042 |
|---|---|
| LBN Legal business name | Columbia Basin Health Association |
| DBA Doing business as | Othello Dental Center |
| Authorized official | Bunch, Joshua |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | Sep 3rd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891913042 | NPPES |
| Washington | Other | 0134585 | DEPT L&I # |
| Washington | MEDICAID | 1021671 | DEPT L&I # |
| Washington | Other | 8923240 | DEPT L&I # |
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