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Organization

COLUMBIA BASIN HEALTH ASSOCIATION

Active
Other names
Columbia Basin Health Association
Organization subpart
No

Provider details

NPI number
Authorized official
NIEVES GOMEZ (CEO)
(509) 488-5256
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
183500000X
Pharmacist
Primary
CF00003080
WA
332B00000X
Durable Medical Equipment & Medical Supplies
CF00003080
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4918314
NABP #
WA
Enumeration date
12/18/2006
Last updated
05/04/2022
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