NPIMap

Organization Active NPI

Columbia Valley Community Health

Doing business as Columbia Valley Community Health Chelan Dental

  • Federally Qualified Health Center (FQHC)
  • Wenatchee, WA
National Provider Identifier
1083812689
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COLUMBIA VALLEY COMMUNITY HEALTH
Doing business as
Columbia Valley Community Health Chelan Dental
Columbia Valley Community Health Dental
Practice address
600 Orondo Ave
Ste 1
Wenatchee, WA 98801-2800
Phone
(509) 662-3860
Fax
(509) 664-4585
NPI assigned
Jul 5, 2007
Last updated
Apr 19, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
601108231As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Manuel Navarro
Title
Ceo
Phone
(509) 662-6000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 601-108-231 WA
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

600 Orondo Ave
Ste 1
Wenatchee, WA 98801-2800

Mailing address

600 Orondo Ave Ste 1
Wenatchee, WA 98801-2800
Phone (509) 662-6000

Other practice location 1

105 S Apple Blossom Dr
Chelan, WA 98816-8810
Phone (509) 682-6000

Other practice location 2

940 Eastmont Ave
East Wenatchee, WA 98802
Phone (509) 884-9000

Other identifiers 1

IdentifierTypeStateIssuer
1042811MedicaidWA

Other names 2

  • Columbia Valley Community Health Chelan Dental Doing business as
  • Columbia Valley Community Health Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Columbia Valley Community Health8 organizations share this tax ID, including this one
Part of
Columbia Valley Community Health

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1083812689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ORONDO AVE STE 1",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012800",
            "telephone_number": "509-662-6000",
            "fax_number": "509-664-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ORONDO AVE",
            "address_2": "STE 1",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012800",
            "telephone_number": "509-662-3860",
            "fax_number": "509-664-4585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 S Apple Blossom Dr",
            "address_purpose": "LOCATION",
            "city": "Chelan",
            "state": "WA",
            "postal_code": "988168810",
            "country_code": "US",
            "telephone_number": "509-682-6000",
            "fax_number": "509-682-6296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "940 Eastmont Ave",
            "address_purpose": "LOCATION",
            "city": "East Wenatchee",
            "state": "WA",
            "postal_code": "98802",
            "country_code": "US",
            "telephone_number": "509-884-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLUMBIA VALLEY COMMUNITY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "601108231",
        "enumeration_date": "2007-07-05",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "NAVARRO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-662-6000"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "601-108-231",
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1042811",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Valley Community Health Chelan Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Columbia Valley Community Health Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Columbia Valley Community Health Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.