NPIMap

Organization Active NPI

One Community Health

  • Federally Qualified Health Center (FQHC)
  • The Dalles, OR
National Provider Identifier
1093870990
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ONE COMMUNITY HEALTH
Practice address
1040 Webber St
The Dalles, OR 97058-3749
Phone
(541) 296-4610
NPI assigned
Dec 22, 2006
Last updated
Oct 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Belinda Elaine Batcha
Title
Cfo
Phone
(541) 308-8363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

1040 Webber St
The Dalles, OR 97058-3749

Mailing address

849 Pacific Ave
Hood River, OR 97031-1956
Phone (541) 386-6380

Other identifiers 1

IdentifierTypeStateIssuer
1033269204MedicaidOR

Other names 1

  • One Community Health- The Dalles Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040203000264 OR Part B Supplier - Clinic/Group Practice 6305759283 Receives reassigned benefits from 65 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dufur, OR; Hood River, OR; The Dalles, OR
O20101019000249 OR Part A Provider - Federally Qualified Health Center (FQHC) 6305759283 Practice locations: The Dalles, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093870990. Details of each certification follow.

Federally qualified health center certification: CCN 381853

Legal name
ONE COMMUNITY HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 21, 2004
Last certification
Jan 21, 2004
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Aug 1, 1986 in OR
Enrollment address
1040 Webber St
The Dalles, OR 97058-3749

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Shawn Whalen Individual Corporate Director Jul 1, 2013
Shannon Saldivar Individual Corporate Director Feb 1, 2015
Renerose Hinkle Individual Corporate OfficerChief Financial Officer Aug 22, 2022
Operational/Managerial ControlChief Financial Officer Aug 22, 2022
Amy Klee Individual Corporate Director Jun 1, 2010
Ian Chandler Individual Corporate Director Mar 1, 2015

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1093870990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 PACIFIC AVE",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311956",
            "telephone_number": "541-386-6380",
            "fax_number": "541-386-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 WEBBER ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583749",
            "telephone_number": "541-296-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE COMMUNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "BATCHA",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "541-308-8363"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033269204",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Community Health- The Dalles",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in The Dalles, OR

Sources for this page

Verify at the official NPI Registry.