Columbia Basin Wellness Clinic, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

COLUMBIA BASIN WELLNESS CLINIC, INC.

Practice address

115 W Hermiston Ave
Suite 100 C
Hermiston, OR 97838-1746

Phone

(541) 667-8357

Fax

(541) 667-8357

NPI assigned

Jan 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Hinton

Title

Clinic Director

Phone

(541) 667-1357

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194882100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W HERMISTON AVE",
            "address_2": "SUITE 100 C",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978381746",
            "telephone_number": "541-667-8357",
            "fax_number": "541-667-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W HERMISTON AVE",
            "address_2": "SUITE 100 C",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978381746",
            "telephone_number": "541-667-8357",
            "fax_number": "541-667-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA BASIN WELLNESS CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HINTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "541-667-1357",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Hermiston, OR
• Providers in Hermiston, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.