Organization
COLUMBIA BASIN HEALTH ASSOCIATION
Active
Parent organization
COLUMBIA BASIN HEALTH ASSOCIATION
Other names
Columbia Basin Health Association
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLUMBIA BASIN HEALTH ASSOCIATION
Authorized official
JOSHUA BUNCH (CFO)
(509) 488-5250
Entity
Organization
Contact information
Practice address
1515 E COLUMBIA ST, OTHELLO, WA 99344-1846
(509) 488-5256
(509) 488-9939
Mailing address
1515 E COLUMBIA ST, OTHELLO, WA 99344-1846
(509) 488-5256
(509) 488-9939
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
WA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035900
DEPT OF L&I #
WA
05
—
2029130
—
WA
01
—
50D0066222
CLIA #
WA
05
—
7062425
—
WA
01
—
7107675
UGS MDC DSHS CROSSOVER
WA
05
—
7406119
—
WA
01
—
7900624
TAKE CHARGE #
WA
01
—
8908941
CRIME VICTIMS #
WA
Enumeration date
04/23/2007
Last updated
07/11/2023
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