Columbia United Providers

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

COLUMBIA UNITED PROVIDERS

Practice address

19120 SE 34TH St
Suite 201
Vancouver, WA 98683-1429

Phone

(360) 449-8861

Fax

(360) 449-8862

NPI assigned

Dec 21, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Ann Wheelock

Title

President/Ceo

Phone

(360) 449-8938

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1134498041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19120 SE 34TH ST",
            "address_2": "SUITE 201",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986831429",
            "telephone_number": "360-449-8861",
            "fax_number": "360-449-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19120 SE 34TH ST",
            "address_2": "SUITE 201",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986831429",
            "telephone_number": "360-449-8861",
            "fax_number": "360-449-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA UNITED PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "WHEELOCK",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "360-449-8938",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbia River Healthcare, Inc.
• Columbia River Mental Health Services
• Columbia River Mental Health Services
• Columbia River Occupational Health
• Columbia Surgical Specialists, PLLC
• Columbia Urology, P.S.
• Columbia Vista Afh Inc
• Cynthia Woodson Colven, MD
• Mark R. Colville, M.D.
• Owen Combe, DMD

• Health Maintenance Organization in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Health Maintenance Organization in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.