Active NPI
Columbia Basin Health Association
- Federally Qualified Health Center (FQHC)
- Othello, WA
National Provider Identifier
1013454867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- COLUMBIA BASIN HEALTH ASSOCIATION
- Practice address
- 1515 E Columbia St
Othello, WA 99344-1040 - Phone
- (509) 488-5256
- Fax
- (509) 488-9939
- NPI assigned
- Jan 31, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nieves Gomez
- Title
- Ceo
- Phone
- (509) 488-5256
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
1515 E Columbia St
Othello, WA 99344-1040
Mailing address
1515 E Columbia St
Othello, WA 99344-1846
Phone (509) 488-5256
National Provider Directory
National Provider Directory- Tax ID family
- Columbia Basin Health Association
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Organizations that report the same tax identification number in the National Provider Directory.
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- Pharmacist
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-
- Federally Qualified Health Center (FQHC)
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- Pharmacist
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- Optometrist
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- NPI 1346139953
-
- Pharmacist
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- NPI 1407919186
-
- Federally Qualified Health Center (FQHC)
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- NPI 1417116385
-
- Federally Qualified Health Center (FQHC)
- Othello, WA
- NPI 1427494004
-
- Federally Qualified Health Center (FQHC)
- Pasco, WA
- NPI 1467341008
-
- Specialty Pharmacy
- Othello, WA
- NPI 1528703485
-
- Pharmacist
- Connell, WA
- NPI 1629311436
-
- Federally Qualified Health Center (FQHC)
- Royal City, WA
- NPI 1679251318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652745600000",
"number": "1013454867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 E COLUMBIA ST",
"city": "OTHELLO",
"state": "WA",
"postal_code": "993441846",
"telephone_number": "509-488-5256",
"fax_number": "509-488-9939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 E COLUMBIA ST",
"city": "OTHELLO",
"state": "WA",
"postal_code": "993441040",
"telephone_number": "509-488-5256",
"fax_number": "509-488-9939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLUMBIA BASIN HEALTH ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-31",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A",
"authorized_official_last_name": "GOMEZ",
"authorized_official_first_name": "NIEVES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "509-488-5256"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Othello, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.