Columbia Basin Health Association

A Medicare group practice based in Othello, WA: 14 NPIs enrolled under one PECOS associate control ID (PAC ID 4486564309), with 95 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4486564309The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Pharmacy, DME Supplier - Physician - Family Practice, Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
WA
Enrollments
10
Group size
44 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
14In 5 places

Enrollment records 10

Enrollment IDStateProvider typeNPI
O20040209000250 WA Part B Supplier - Clinic/Group Practice 1528316379
O20040427000342 WA Part A Provider - Federally Qualified Health Center (FQHC) 1053539890
O20100930030134 WA DME Supplier - Pharmacy 1407919186
O20101027000085 WA Part A Provider - Federally Qualified Health Center (FQHC) 1083832232
O20100930086310 WA DME Supplier - Pharmacy 1033259064
O20230331000353 WA Part B Supplier - Pharmacy 1528703485
O20231211000879 WA Part A Provider - Federally Qualified Health Center (FQHC) 1225716947
O20240822001074 WA DME Supplier - Physician - Family Practice 1235027749
O20150511001897 WA DME Supplier - Pharmacy 1629311436
O20120522001282 WA Part A Provider - Federally Qualified Health Center (FQHC) 1841574241

NPIs in this group 14

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 95

Clinicians who reassign their Medicare benefits to this group (95) or whom Care Compare lists as members (44).

Sources for this page