Organization
COLUMBIA BASIN HEALTH ASSOCIATION
Active
Organization
COLUMBIA BASIN HEALTH ASSOCIATION
Active
Other names
Eagle Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
NIEVES GOMEZ (CEO)
(509) 488-5256
Entity
Organization
Contact information
Practice address
1051 S. COLUMBIA AVENUE, CONNELL, WA 99326
(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)
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035900
DLI GROUP#
WA
01
—
7107675
UGS MDC DSHS CROSSOVER
WA
01
—
8908941
DLI CRIME VICTIMS#
WA
01
—
CO3323
RAILROAD MEDICARE
WA
Enumeration date
08/28/2012
Last updated
05/06/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up