Columbia Valley Community Health
Organization Active NPI Federally Qualified Health Center (FQHC) · East Wenatchee, WA
NPI 1174417919 · NPPES record last updated Jun 5, 2025
Key facts
- NPI
- 1174417919
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- COLUMBIA VALLEY COMMUNITY HEALTH
- Practice address
- 980 Eastmont Ave
East Wenatchee, WA 98802-6602 - Phone
- (509) 662-6000
- NPI assigned
- Jun 5, 2025
- Organization subpart
- Yes
- Parent organization (as reported)
- COLUMBIA VALLEY COMMUNITY HEALTH
Authorized official
- Name
- Manuel I Navarro
- Title
- Ceo
- Phone
- (509) 666-2600
Parent organization (reported in NPPES) 1
Owners & managing parties with NPI records 9
-
Susan Elizabeth Caverly, PHD,ARNP,MA,BC
-
Jeffery Hinckley, DMD
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 7
Practitioners 109
-
Marlene Aguilera-Kutch, LICSW
-
John Arnold, PHD
-
Robert James Babuji, M.D.
-
Annmarie Batdorf, L.M.H.C.
-
Nicholas James Belanger, ARNP
-
Beth Loraine Blankenship, PA-C
-
Rachel Ryan Bollens, REGISTERED NURSE
-
Lorena G Boyd, ARNP
-
Jamie Boykin, CNM
-
Elizabeth Buck, MD
-
Malcolm A Butler, MD
-
Daniel Buzzell, PA-C
-
Lauren D Castillo Reyes, PA-C
-
Susan Elizabeth Caverly, PHD,ARNP,MA,BC
-
Nathan Drew Chambers, PA-C
-
Kelsey Marie Cibicki, DNP
-
Matthew Clive, PA-C
-
Nicholas Collins-Feay, PA-C
-
Eliza Cooley, CNM, WHNP
-
Chelsey Lynne Craven, LICSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Federally qualified health center certification: CCN 501066
- Legal name
- COLUMBIA VALLEY COMMUNITY HEALTH
- Doing business as
- 980 PSYCHIATRIC MEDICAL
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- May 1, 2025
- Last certification
- May 1, 2025
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 980 Eastmont Ave
East Wenatchee, WA 98802-6602
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Susan E Caverly |
W-2 Managing Employee |
Mar 21, 2023 | |
| Kristina Stepper |
Corporate Director |
May 15, 2013 | |
| Summer Kelley |
Corporate Officer |
Jul 23, 2024 | |
| W-2 Managing Employee |
Jun 5, 2019 | ||
| Kevin Brown |
Corporate Director |
Aug 24, 2022 | |
| Manuel Navarro |
Corporate Officer |
Jul 1, 2019 | |
| W-2 Managing Employee |
Jul 2, 2019 | ||
| Dusti Mahoney |
Corporate Director |
Jan 21, 2020 | |
| Blake Edwards |
W-2 Managing Employee |
Jul 31, 2018 | |
| Richard Clark Hansen |
Corporate Director |
Aug 24, 2022 | |
| Robert H Scott |
Corporate Director |
Mar 1, 1998 | |
| Danielle Noell |
W-2 Managing Employee |
Oct 24, 2011 | |
| Jeffery Hinckley |
W-2 Managing Employee |
Nov 1, 2018 | |
| Felipe Gutierrez |
W-2 Managing Employee |
Nov 16, 2021 | |
| Yvonne Mayorga |
Corporate Director |
May 29, 2024 | |
| Columbia Valley Community Health |
Operational/Managerial Control | Jun 1, 1975 | 100% |
| Loly Larson |
Corporate Director |
Apr 1, 1990 | |
| Cheryl Cooper |
Corporate Director |
Sep 24, 2024 | |
| Michael Machado |
Corporate Director |
Sep 12, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250306002517 | WA | Part a Provider - Federally Qualified Health Center (FQHC) | 7113813874 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: East Wenatchee, WA |
National Provider Directory
- Tax ID family
- Columbia Valley Community Health
- Part of
- Columbia Valley Community Health
Locations
105 S Apple Blossom Dr
Chelan, WA 98816
Phone (509) 682-6000
900 Eastmont Ave
East Wenatchee, WA 98802
Phone (509) 884-9000
1510 9th St
Wenatchee, WA 98801
Phone (509) 663-7947
701 N Miller St
Wenatchee, WA 98801
Phone (509) 662-7195
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
980 Eastmont Ave
East Wenatchee, WA 98802-6602
Mailing address
600 Orondo Ave Ste 1
Wenatchee, WA 98801-2800
Phone (509) 662-6000
Other names
- 980 East Behavioral
Other providers in East Wenatchee, WA
- Chelan-Douglas Health District
- Michael C Civile
- Kevin Clive
- Cydne Cochran
- Angel Collins
- Columbia Valley Community Health
- Columbia Valley Community Health
- Columbia Valley Community Health East Wenatchee Pharmacy
- Linda Sue Colwell
- Community Choice Dba Action Health Partners
All providers in East Wenatchee, WA · Federally Qualified Health Center (FQHC) in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.