Columbia Basin Health Association

LBN: Columbia Basin Health Association
Columbia Basin Health Association is an health care organization with primary practice located at 475 N 14Th Ave , Othello WA 99344-1226. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, 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) 488-6644, or through Gomez, Nieves via phone (509) 488-5256.

Contact Information

Primary practice address
475 N 14Th Ave Othello WA 99344-1226
Phone: (509) 488-6644
Fax: (509) 488-9939
Website:
Map and Directions
Authorized official contact:
Name: Gomez, Nieves
Phone: (509) 488-5256

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X Washington
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X Washington

Profile Details

NPI number 1972721710
LBN Legal business name Columbia Basin Health Association
DBA Doing business as Columbia Basin Health Association
Authorized official Gomez, Nieves
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2007
Last updated May 6th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972721710 NPPES
Washington Other 50D0640014 CLIA #
Washington MEDICAID 7121585 CLIA #
Washington Other 08908941 CLIA #
Washington MEDICAID 7406119 CLIA #
Washington Other 7900624 CLIA #
Washington Other 0035900 CLIA #
Washington Other 7107675 CLIA #

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